Organization Name: | WILBERT & ASSOCIATES PHYSICAL THERAPY |
NPI Number: | 1265655013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH WILBERT (OWNER) |
Mailing Address: | 195 W Main St New Britain |
State: | CT US |
Postal Code: | 060521318 |
Phone Number: | 8602250674 |
Fax Number: | 8602233330 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 002360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |