Organization Name: | FORWARD MOTION PHYSICAL THERAPY,LLC |
NPI Number: | 1114355252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABIGAIL JANE SMITH (FOUNDER/OWNER) |
Mailing Address: | 772 Post Rd E Westport |
State: | CT US |
Postal Code: | 068805229 |
Phone Number: | 2032154142 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2013 |
NPI Last Update Date: | 10/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 008244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |