Advanced Therapy and Performance LLC
NPI #1235592247 in Stamford, Connecticut
Provider Information
- NPI Number
- 1235592247
- Entity Type
- Organization
- Organization Name
- Advanced Therapy and Performance LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Mar 29, 2016
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 75 SELLECK STREET
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06902
- Phone
- (203) 614-9635
Authorized Official
- Name
- DR. JOSHUA KEN HEENAN, I.M.D
- Title
- PRESIDENT
- Phone
- (203) 614-9635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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