Whalio Doctors

NPI 1770766826

Kinetic Rehab, LLC

Organisation Physical Medicine & Rehabilitation Physician Bridgeport, CT

Practice location

Address
1450 Barnum Ave Suite 205, Bridgeport, CT 06610-3239
Phone
(203) 336-6874
Fax
(203) 336-6875

Authorised official

Name
Daniel Sheehan
Title
President
Phone
(203) 336-6874

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X

Registry record

NPI
1770766826
Entity type
Organization
NPI issued
12 Dec 2007
Record last updated
12 Dec 2007

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.