Organization
PEDIAFLEX THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW KENT LUGINBUHL PT (OWNER/PHYSICAL THERAPIST)
(860) 306-6423
Entity
Organization
Contact information
Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 306-6423
(860) 875-6423
Mailing address
84 SNIPSIC LAKE RD, ELLINGTON, CT 06029-3519
(860) 306-6423
(860) 875-6423
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
02/27/2012
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