| Organization Name: | CANDLEWOOD PHYSICAL THERAPY AND FITNESS, LLC |
| NPI Number: | 1942638473 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA WILSON (PHYSICAL THERAPIST OWNER) |
| Mailing Address: | 88 State Route 37 Unit 2 New Fairfield |
| State: | CT US |
| Postal Code: | 068125036 |
| Phone Number: | 2033133923 |
| Fax Number: | 2033120699 |
| NPI Enumeration Date: | 10/18/2013 |
| NPI Last Update Date: | 10/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |