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MR. GREGORY D WRIGHT PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1194722967
Individual Registrant:MR. GREGORY D WRIGHT PT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1579 STRAITS TPKE MIDDLEBURY, CT 06762-1835 US
Tel: 203-577-2002 Fax: 203-577-2006
Tel: 203-577-2002 Fax: 203-577-2006
Contact information for business:
1579 STRAITS TPKE MIDDLEBURY, CT 06762-1835 US
Tel: 203-577-2002 Fax: 203-577-2006
Tel: 203-577-2002 Fax: 203-577-2006
Registration Information:
NPI: 1194722967
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT26204 |
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 003180 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004122389 | CT | 05 | |
| ANTHEM BLUE CROSS SHIELD | 080003180CT22 | CT | 01 |
