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General NPI Number Information
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NPI Number | 1407903545
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Entity Type | Organization
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Legal Business Name | CENTER REHABILITATION & SPORTS THERAPY LLC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 60 COMMERCE PARK STE D
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City | MILFORD
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State | CT
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Zip | 06460-3513
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Country | US
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Telephone | 203-882-9384
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Fax | 203-882-9385
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Provider Business Mailing Address
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Address Line | 60 COMMERCE PARK STE D
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City | MILFORD
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State | CT
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Zip | 06460-3513
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Country | US
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Telephone | 203-882-9384
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Fax | 203-882-9385
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN TIMOTHY WILLIAMS
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Credential | MSPT
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Telephone | 203-882-9384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 004793
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 4793
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License Number State | CT
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