Healthcare Provider Details
I. General information
NPI: 1013063155
Provider Name (Legal Business Name): THERAPY SOLUTIONS CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2007
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 STATE ROUTE 39
NEW FAIRFIELD CT
06812-4014
US
IV. Provider business mailing address
PO BOX 8824 90 STATE ROUTE 39
NEW FAIRFIELD CT
06812-8824
US
V. Phone/Fax
- Phone: 203-746-6626
- Fax: 203-746-6099
- Phone: 203-746-6626
- Fax: 203-746-6099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 00003193 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 004046 |
| License Number State | CT |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | |
| License Number State | CT |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 0000148 |
| License Number State | CT |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | CT |
VIII. Authorized Official
Name:
MURIEL
R
HOCZELA
Title or Position: CEO
Credential: RPT
Phone: 203-746-6626