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76 Valley Rd, Cos Cob, CT 06807-2533 | |
(917) 744-6457 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 76 Valley Rd, Cos Cob, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730770934 | NPI | - | NPPES |
Provider Name | Tiffany Sudol Baker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497145536 PECOS PAC ID: 0749673192 Enrollment ID: I20220207001508 |
Mailing Address | Practice Location Address |
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120 Cherry Ln, Wilton, CT 06897-3522 Ph: (917) 744-6457 | 76 Valley Rd, Cos Cob, CT 06807-2533 Ph: (917) 744-6457 |