Full Spectrum Therapeutics LLC
NPI #1598999773 in Prospect, Connecticut
Provider Information
- NPI Number
- 1598999773
- Entity Type
- Organization
- Organization Name
- Full Spectrum Therapeutics LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- May 4, 2009
- Last Updated
- May 4, 2009
Practice Location
- Address
- 4 SUMMIT RD
- Address 2
- SUITE C
- City
- Prospect
- State
- Connecticut
- ZIP Code
- 06712-1485
- Phone
- (203) 758-0755
Authorized Official
- Name
- KIMBERLY A MANGE, OTR/L
- Title
- OCCUPATIONAL THERAPIST/OWNER
- Phone
- (860) 919-1222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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