Organization
FORMULA FOR PERFORMANCE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CORWIN (MANAGING DIRECTOR)
(203) 247-2270
Entity
Organization
Contact information
Practice address
59 VALLEY FORGE RD, WESTON, CT 06883-1912
(203) 227-6666
Mailing address
59 VALLEY FORGE RD, WESTON, CT 06883-1912
(203) 227-6666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/29/2014
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