Provider Demographics
NPI:1790023752
Name:SYMMETRY PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SYMMETRY PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCARI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:860-788-7976
Mailing Address - Street 1:270 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORTLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06480-1859
Mailing Address - Country:US
Mailing Address - Phone:860-788-7976
Mailing Address - Fax:877-532-7987
Practice Address - Street 1:270 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:PORTLAND
Practice Address - State:CT
Practice Address - Zip Code:06480-1859
Practice Address - Country:US
Practice Address - Phone:860-788-7976
Practice Address - Fax:877-532-7987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-26
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006717261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy