Provider Demographics
NPI:1598134082
Name:SOULCARE PHYSICAL THERAPY,LLC
Entity Type:Organization
Organization Name:SOULCARE PHYSICAL THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FRANZINO
Authorized Official - Suffix:
Authorized Official - Credentials:MAPT
Authorized Official - Phone:203-610-2681
Mailing Address - Street 1:79 S BENSON RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6230
Mailing Address - Country:US
Mailing Address - Phone:203-610-2681
Mailing Address - Fax:
Practice Address - Street 1:79 S BENSON RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6230
Practice Address - Country:US
Practice Address - Phone:203-610-2681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005367261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy