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FULL SPECTRUM THERAPEUTICS LLC NPI 1598999773


NPI Information

NPI: 1598999773
Provider Name: FULL SPECTRUM THERAPEUTICS LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
4 SUMMIT RD
SUITE C
PROSPECT, CT
ZIP 06712
Phone: (203) 758-0755
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FULL SPECTRUM THERAPEUTICS LLC is a developmental disabilities clinic center in Prospect, CT. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). FULL SPECTRUM THERAPEUTICS LLC NPI is 1598999773. The provider is registered as an organization entity type.

The provider's business location address is:

4 SUMMIT RD
SUITE C
PROSPECT, CT
ZIP 06712-485
Phone: (203) 758-0755
Fax: (203) 758-0754

The provider's authorized official is Kimberly A Mange .
The authorized official title is Occupational Therapist/owner and has the following contact phone number (860) 919-1222.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 5/4/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities001841CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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