Organization
UPWARDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LIZZA PT (OWNER/PHYSICAL THERAPIST)
(203) 218-6988
Entity
Organization
Contact information
Practice address
240 COLONY ST, FAIRFIELD, CT 06824-5205
(203) 292-8452
Mailing address
246 HATTERTOWN RD, NEWTOWN, CT 06470-2445
(203) 218-6988
(203) 459-4249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007056
CT
225X00000X
Occupational Therapist
Primary
003071
CT
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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