Organization Name: | FARMINGTON VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE, PC |
NPI Number: | 1629116249 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOGUSLAWA JOLANTA BADON (PRESIDENT) |
Mailing Address: | 112 S Main St Unionville |
State: | CT US |
Postal Code: | 060851255 |
Phone Number: | 8606730223 |
Fax Number: | 8606737605 |
NPI Enumeration Date: | 02/03/2007 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 004916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |