NPI 1235592247
Advanced Therapy and Performance LLC
Practice location
- Address
- 75 Selleck Street, Stamford, CT 06902
- Phone
- (203) 614-9635
Authorised official
- Name
- Joshua Ken Heenan
- Title
- President
- Phone
- (203) 614-9635
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1235592247
- Entity type
- Organization
- NPI issued
- 29 Mar 2016
- Record last updated
- 29 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.