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STRIDE PHYSICAL THERAPY AND PEDORTHIC CENTER, PC

>> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1518088723

Organizational Registrant:
Organization Name:  STRIDE PHYSICAL THERAPY AND PEDORTHIC CENTER, PC
Organization is not Subpart
Authorized Official:  ROBERTA T NOLE  PRESIDENT  203--75-88307

Location and contact information for practice:
80 TURNPIKE DR UNIT 1 MIDDLEBURY, CT 06762-1830 US
Tel: 203-758-8307  Fax: 203-758-8394

Contact information for business:
80 TURNPIKE DR UNIT 1 MIDDLEBURY, CT 06762-1830 US
Tel: 203-758-8307  Fax: 203-758-8394

Registration Information:
NPI: 1518088723
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
CT003621

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM080003621CT02CT01
004137338CT05




HEALTH CARE JOBS CT - Page 1



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