Independence Physical Therapy, LLC

NPI #1578596888 in Mystic, Connecticut

Provider Information

NPI Number: 1578596888
Entity Type: Organization
Organization Name: Independence Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 9, 2006
Last Updated: Dec 12, 2007

Practice Location

Address: 2440 GOLD STAR HWY
Address 2: SUITE 201
City: Mystic
State: Connecticut
ZIP Code: 06355-1180
Phone: (860) 536-1001

Authorized Official

Name: JEANNE M GILBERT, P.T.
Title: OWNER THERAPIST
Phone: (860) 536-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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