Healthcare Provider Details

I. General information

NPI: 1346351830
Provider Name (Legal Business Name): REHABILITATION ASSOCIATES OF CT., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 OLD COACH RD
FAIRFIELD CT
06824-2244
US

IV. Provider business mailing address

41 OLD COACH RD
FAIRFIELD CT
06824-2244
US

V. Phone/Fax

Practice location:
  • Phone: 203-259-7106
  • Fax: 203-384-0956
Mailing address:
  • Phone: 203-259-7106
  • Fax: 203-384-0956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROL LANDSMAN
Title or Position: DIRECTOR
Credential: M.A.
Phone: 203-259-7106