Physiocare Physical Therapy and Sports Medicine, LLC

NPI #1649828005 in East Lyme, Connecticut

Provider Information

NPI Number: 1649828005
Entity Type: Organization
Organization Name: Physiocare Physical Therapy and Sports Medicine, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2019
Last Updated: Aug 29, 2019

Practice Location

Address: 131 BOSTON POST RD
City: East Lyme
State: Connecticut
ZIP Code: 06333-1605
Phone: (860) 949-2561

Authorized Official

Name: JOHN HOWARD BRADFORD, DPT
Title: OWNER
Phone: (860) 949-2561

Specialties & Taxonomy Codes

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

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