Physical Therapy Of Mystic, Llc

NPI 1245592617 - Physical Therapist - 225100000X

NPI Details
NPI 1245592617
Enumeration Date 06/12/2012
Last Updated 06/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RON A RON
Position OWNER
Phone (860) 445-9433
Fax (860) 445-8802
Practice Location
481 GOLD STAR HWY
SUITE 201
GROTON CT, 06340-6702, US
Phone (860) 445-9433
Fax (860) 445-8802
Business Location
481 GOLD STAR HWY
SUITE 201
GROTON CT, 06340-6702, US
Phone (860) 445-9433
Fax (860) 445-8802
Toxanomy
Taxonomy Code 225100000X
License State Connecticut
License Number 003770
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According to our database, Physical Therapy Of Mystic, Llc NPI is 1245592617, taxonomy code is 225100000X and license number is 003770, license state is located at Connecticut. Physical Therapy Of Mystic, Llc physically located at 481 Gold Star Hwy, Groton CT, 06340-6702. NPI Number 1033115704 has the healthcare provider type.

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1245592617 NPI number is provided on an as is basis without warranty of any kind. 1245592617 is maintained by the National Plan & Provider Enumeration System. The contents of Physical Therapy Of Mystic, Llc are for informational purposes only.