| |
145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | |
(860) 265-2571 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 145 Hazard Ave, Enfield, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730113051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 005596 (Connecticut) | Primary |
Mailing Address | Practice Location Address |
---|---|
145 Hazard Ave, Suite B, Enfield, CT 06082-4521 Ph: (860) 265-2571 | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 Ph: (860) 265-2571 |