Healthcare Provider Details

I. General information

NPI: 1205366168
Provider Name (Legal Business Name): WESTERN CONNECTICUT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 RIVERVIEW DRIVE
DANBURY CT
06810
US

IV. Provider business mailing address

2 RIVERVIEW DRIVE
DANBURY CT
06810
US

V. Phone/Fax

Practice location:
  • Phone: 203-798-9702
  • Fax: 203-798-9208
Mailing address:
  • Phone: 203-798-9702
  • Fax: 203-798-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: VALORY JANE RAMSDELL
Title or Position: OWNER
Credential: PT
Phone: 203-798-9702