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Contact Information

CLOAK TACTICAL PERFORMANCE PHYSICAL THERAPY
180 JOHNSON ST
MIDDLETOWN, CT06457-2247
 Phone: 774-266-1946
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for CLOAK TACTICAL PERFORMANCE PHYSICAL THERAPY

NPI # 1649083775
LBN Legal business name CLOAK TACTICAL PERFORMANCE PHYSICAL THERAPY
Authorized official ERIC SOULE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2025
Last updated 01/31/2025 - More than a year ago
Identifiers n/a
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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