Whalio Doctors

NPI 1235592247

Advanced Therapy and Performance LLC

Organisation Physical Medicine & Rehabilitation Physician Stamford, CT

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X

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.