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MR. RICHARD JOSEPH PRENETA PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1851376867
Individual Registrant:MR. RICHARD JOSEPH PRENETA PT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2119 POST RD FAIRFIELD, CT 06824-5657 US
Tel: 203-259-7177 Fax: --
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
Tel: 203-259-7177 Fax: 203-256-9217
Registration Information:
NPI: 1851376867
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 3438 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 080003438 | CT | 01 |
