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Contact Information

CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC
11 MILL POND DR
GRANBY, CT06035-2628
 Phone: 860-413-9969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC

NPI Number 1639441439
LBN Legal business name CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC
Authorized official DAVID BOSTIC - (PHYSICAL THERAPIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2012
Last updated 07/28/2020 - About 6 years ago
Identifiers
CT License # 003110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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