Organization
SHORELINE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN A DOBOSZ P.T (PRESIDENT)
(203) 876-7316
Entity
Organization
Contact information
Practice address
60 COMMERCE PARK, MILFORD, CT 06460-3506
(203) 876-7316
(203) 876-0041
Mailing address
60 COMMERCE PARK, MILFORD, CT 06460-3506
(203) 876-7316
(203) 876-0041
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1245
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001245CT03
BLUE CROSS BLUE SHIELD
CT
01
—
35501
CIGNA
CT
Enumeration date
01/10/2007
Last updated
08/22/2020
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