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MR. RICHARD JOSEPH PRENETA PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1851376867

Individual Registrant:
MR. RICHARD JOSEPH PRENETA PT
Gender: M
Sole Proprietor

Location and contact information for practice:
2119 POST RD  FAIRFIELD, CT 06824-5657 US
Tel: 203-259-7177  Fax: --

Contact information for business:
2119 POST RD  FAIRFIELD, CT 06824-5657 US
Tel: 203-259-7177  Fax: 203-256-9217

Registration Information:
NPI: 1851376867
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT3438

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD080003438CT01




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