Organization
DYNAMIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH E. GROSS P.T. (OWNER/PHYSICAL THERAPIST)
(860) 599-0819
Entity
Organization
Contact information
Practice address
158 SOUTH BROAD STREET, PAWCATUCK, CT 06379-1925
(860) 599-0819
(860) 599-0871
Mailing address
158 SOUTH BROAD STREET, PAWCATUCK, CT 06379-1925
(860) 599-0819
(860) 599-0871
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004925
CT
Other
Enumeration date
08/01/2007
Last updated
12/07/2017
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