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NPI Code Detail

MEDICARE: CONNECTICUT PHYSICAL THERAPY

MEDICARE: CONNECTICUT PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1669413845
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTICUT PHYSICAL THERAPY
Provider Business Mailing Address
First Line : PO BOX 1245
Second Line :
City : INDIANA
State : PA
Zip : 15701-5245
Country : US
Telephone Number : 724-465-3496
Fax Number : 215-413-4682
Provider Business Practice Location Address
First Line : 4675 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1813
Country : US
Telephone Number : 203-373-0551
Fax Number : 203-365-6600
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : MRS. JAYNE FLECK POOL
Credential :
Telephone Number : 469-467-8705
Provider Enumeration Date : 06/09/2006
Last Update Date : 06/21/2010

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Directions to “CONNECTICUT PHYSICAL THERAPY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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