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Organization

PHYSICAL THERAPY OF SOUTHERN CONNETICUT

Active
Parent organization
PHYSICAL THERAPY OF SOUTHERN CONNECTICUT
Other names
Child & Family Network
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSICAL THERAPY OF SOUTHERN CONNECTICUT
Authorized official
LINDA MAUDE PT (PRESIDENT)
(203) 735-8336
Entity
Organization

Contact information

Practice address
917 BRIDGEPORT AVE, SHELTON, CT 06484-4679
(203) 735-8336
(203) 735-3704
Mailing address
917 BRIDGEPORT AVE, SHELTON, CT 06484-4679
(203) 735-8336
(203) 735-3704

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004398203
CT
Enumeration date
11/14/2013
Last updated
11/14/2013
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