Extend Rehab LLC

NPI #1144707274 in Bethel, Connecticut

Provider Information

NPI Number: 1144707274
Entity Type: Organization
Organization Name: Extend Rehab LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 21, 2018
Last Updated: Feb 26, 2019

Practice Location

Address: 121 CODFISH HILL RD
City: Bethel
State: Connecticut
ZIP Code: 06801-3203
Phone: (475) 279-0347

Authorized Official

Name: STEPHEN SURIANO, DPT
Title: MANAGER
Phone: (475) 279-0838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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