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Organization

NORTHEAST SPINE & REHAB., LLC

Active
Other names
Northeast Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONELL RONLEY OWENS (OFFICIAL)
(203) 368-1192
Entity
Organization

Contact information

Practice address
5520 PARK AVE, SUITE 208, TRUMBULL, CT 06611-3463
(203) 368-1192
(203) 371-0358
Mailing address
5520 PARK AVE, SUITE 208, TRUMBULL, CT 06611-3463
(203) 368-1192
(203) 371-0358

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
06/03/2006
Last updated
11/27/2007
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