Organization
CPL PREMIER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PATTERSON (OTR)
(802) 658-4200
Entity
Organization
Contact information
Practice address
110 FAIRFAX RD, SAINT ALBANS, VT 05478-6299
(802) 752-1600
Mailing address
19 TUTTLE PL, MIDDLETOWN, CT 06457-1881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
041-0000504
VT
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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