CHESHIRE PHYSICAL THERAPY & SPORTS MEDICINE INC NPI 1669690087

NPI Information

CHESHIRE PHYSICAL THERAPY & SPORTS MEDICINE, INC is a specialist in Cheshire, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHESHIRE PHYSICAL THERAPY & SPORTS MEDICINE, INC NPI is 1669690087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 S MAIN ST
CHESHIRE, CT
ZIP 06410-164
Phone: (203) 271-2928
Fax: (203) 699-8445

The provider's authorized official is John Payne .
The authorized official title is Owner and has the following contact phone number (203) 271-2928.

The CLIA number assigned to this NPI record is 07D0995562 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 11/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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