Organization
SELECT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE SCOPINO II PHYSICAL /THERAPIST (OWNER/PRESIDENT)
(203) 910-4349
Entity
Organization
Contact information
Practice address
16 BURGESS RD, MORRIS, CT 06763-1022
(203) 910-4349
Mailing address
16 BURGESS RD, MORRIS, CT 06763-1022
(203) 910-4349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346445186
NPI
CT
Enumeration date
12/06/2010
Last updated
12/06/2010
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