Organization Name: | EASTERN CONNECTICUT REHABILITATION CENTERS |
NPI Number: | 1275542219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL REMI MAILHOT (OWNER EXECUTIVE DIRECTOR) |
Mailing Address: | 2 B Lee Road Lisbon |
State: | CT US |
Postal Code: | 06351 |
Phone Number: | 8603762564 |
Fax Number: | 8603764812 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |