Central Ct Sports Medicine Center

NPI #1104982826 in Berlin, Connecticut

Provider Information

NPI Number: 1104982826
Entity Type: Organization
Organization Name: Central Ct Sports Medicine Center
Primary Specialty: Physical Therapist
Enumeration Date: Dec 28, 2006
Last Updated: Feb 5, 2008

Practice Location

Address: 15 MASSIRIO DR
City: Berlin
State: Connecticut
ZIP Code: 06037-2322
Phone: (860) 829-1300

Authorized Official

Name: MRS. CATHY A. FELLOWS
Title: BUSINESS MANAGER
Phone: (860) 829-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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