Organization
PHYSICAL THERAPY OF SOUTHERN CONNETICUT
Active
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
Update your record
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