Organization
CONNECTICUT DANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA DIMATTIA MSPT (OWNER)
(203) 569-1274
Entity
Organization
Contact information
Practice address
1275 SUMMER ST, SUITE 307, STAMFORD, CT 06905-5359
(203) 569-1274
Mailing address
1275 SUMMER ST, SUITE 307, STAMFORD, CT 06905-5359
(203) 569-1274
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0006532
CT
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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