Allstar Therapy, Llc

NPI 1174852479 - Clinic/Center - 261QP2000X

NPI Details
NPI 1174852479
Enumeration Date 12/15/2009
Last Updated 12/08/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LISA LISA
Position OWNER
Phone (860) 677-2934
Fax
Practice Location
51 E MAIN ST
AVON CT, 06001-3821, US
Phone (860) 677-2934
Fax
Business Location
21 WATERVILLE RD
AVON CT, 06001-2097, US
Phone (860) 677-2934
Fax (860) 678-7827
Toxanomy
Taxonomy Code 261QP2000X
License State Connecticut
License Number 002951
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According to our database, Allstar Therapy, Llc NPI is 1174852479, taxonomy code is 261QP2000X and license number is 002951, license state is located at Connecticut. Allstar Therapy, Llc physically located at 51 E Main St, Avon CT, 06001-3821. NPI Number 1033115704 has the healthcare provider type.

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1174852479 NPI number is provided on an as is basis without warranty of any kind. 1174852479 is maintained by the National Plan & Provider Enumeration System. The contents of Allstar Therapy, Llc are for informational purposes only.