Healthcare Provider Details

I. General information

NPI: 1427054535
Provider Name (Legal Business Name): VALLEY REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOPMEADOW ST STE 300
SIMSBURY CT
06089-9407
US

IV. Provider business mailing address

110 HOPMEADOW ST STE 300
WEATOGUE CT
06089-9407
US

V. Phone/Fax

Practice location:
  • Phone: 860-651-3381
  • Fax: 860-651-0037
Mailing address:
  • Phone: 860-651-3381
  • Fax: 860-651-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SHENTON
Title or Position: PRESIDENT
Credential: DPT
Phone: 860-651-3381