DIVERSIFIED PHYSICAL THERAPY, LLC
Physical Therapy at Main St, Meriden, CT

License number
Connecticut 6033
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: MS. MICHELLE THIBEAULT PT
Title: OWNER
Phone: (203) 630-3939
Address
Address
1260 E Main St, Meriden, CT 06450
National Provider ID: 1801018882
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVERSIFIED PHYSICAL THERAPY, LLC

1260 E Main St, Meriden, CT 06450

Industry:
Health Practitioner's Office
Registration:
Sep 26, 2003
State ID:
0761374
Business type:
Domestic Limited Liability Company
Member, Owner:
Michelle Thibeault (Member, Owner), 1260 E Main St, Meriden, CT 06450 (Mailing)
26 Sand Hl Rd, Middletown, CT 06457 (Physical)

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