Mystic Physical Therapy Associates PC
NPI #1811955503 in Groton, Connecticut
Provider Information
- NPI Number
- 1811955503
- Entity Type
- Organization
- Organization Name
- Mystic Physical Therapy Associates PC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- May 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 FORT HILL RD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (860) 445-9433
Authorized Official
- Name
- MR. LAZARUS SUREN DONABEDIAN
- Title
- DIRECTOR MANAGING
- Phone
- (860) 966-7226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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