Organization
SCORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW DANE PT (MEMBER)
(203) 577-2002
Entity
Organization
Contact information
Practice address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 577-2002
(203) 577-2060
Mailing address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 577-2002
(203) 577-2060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004177318
—
CT
05
—
4177318
—
CT
Enumeration date
02/28/2007
Last updated
10/29/2018
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