Organization Name: | ORTHOPEDIC PHYSICAL THERAPY OF SOUTHERN NEW ENGLAND LLC |
NPI Number: | 1043488059 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN KENNETH GAMBLE (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 7 Clinic Dr Norwich |
State: | CT US |
Postal Code: | 063602915 |
Phone Number: | 8608876408 |
Fax Number: | 8608876592 |
NPI Enumeration Date: | 02/12/2008 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 003827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |