Healthcare Provider Details

I. General information

NPI: 1932601523
Provider Name (Legal Business Name): HANDS ON THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E MAIN ST
AVON CT
06001-3829
US

IV. Provider business mailing address

45 E MAIN ST
AVON CT
06001-3829
US

V. Phone/Fax

Practice location:
  • Phone: 860-404-2587
  • Fax: 860-404-5476
Mailing address:
  • Phone: 860-404-2587
  • Fax: 860-404-5476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number004522
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number002276
License Number StateCT

VIII. Authorized Official

Name: CYNTHIA LANGER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: MSPT
Phone: 860-404-2587