| NPI | 1598051260 |
|---|---|
| Doing Business As | PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN H BRADFORD Owner/Physical Therapist 860-608-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006963) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004259) |
| 225100000X Physical Therapist (Licence: CT 009704) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2014-10-02 |