ECLECTIC PHYSICAL THERAPY LLC
Ambulatory Health at Fairfield Ave, Bridgeport, CT

License number
Connecticut 005735
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: JENNIFER LEE IANNUCCI PT
Title: PHYSICAL THERAPIST, OWNER
Phone: (203) 913-6978
Address
Address
2889 Fairfield Ave, Bridgeport, CT 06605
National Provider ID: 1730421397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ECLECTIC PHYSICAL THERAPY LLC at bizstanding.com

ECLECTIC PHYSICAL THERAPY, LLC

Bridgeport, CT

Registration:
May 8, 2013
Addresses:
2889 Fairfield Ave, Bridgeport, CT 06605 (Physical)
46 Driftwood Ln, Trumbull, CT 06611 (Mailing)
State ID:
1097094
Business type:
Domestic Limited Liability Company
MANAGER:
Jennifer Iannucci (MANAGER), 2889 Fairfield Ave, Bridgeport, CT 06605 (Mailing)
46 Driftwood Ln, Bridgeport, CT 06601 (Physical)
Agent:
Jennifer Lee Iannucci,2889 Fairfield Ave, Bridgeport, CT 06605 (Mailing)
46 Driftwood Ln, Trumbull, CT 06611 (Physical)

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