| |
428 Long Hill Rd Ste 101, Groton, CT 06340 | |
(860) 326-5454 | |
(860) 326-5502 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 428 Long Hill Rd Ste 101, Groton, 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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1063780112 | NPI | - | NPPES |
Provider Name | Travis Lombardi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154401305 PECOS PAC ID: 0547310617 Enrollment ID: I20090611000044 |
Provider Name | Christine M Lombardi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619057817 PECOS PAC ID: 0941457931 Enrollment ID: I20120827000535 |
Provider Name | Emily Gallagher |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295110112 PECOS PAC ID: 1850682113 Enrollment ID: I20160617000362 |
Mailing Address | Practice Location Address |
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Po Box 302, Groton, CT 06340-0302 Ph: (860) 326-5454 | 428 Long Hill Rd Ste 101, Groton, CT 06340 Ph: (860) 326-5454 |