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MR. ROBERT G ROSS MPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1619986627
Individual Registrant:MR. ROBERT G ROSS MPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
245 ALVORD PARK ROAD SUITE 2 TORRINGTON, CT 06790-3493 US
Tel: 860-496-9851 Fax: 860-482-4047
Tel: 860-496-9851 Fax: 860-482-4047
Contact information for business:
245 ALVORD PARK ROAD SUITE 2 TORRINGTON, CT 06790-3493 US
Tel: 860-496-9851 Fax: 860-482-4047
Tel: 860-496-9851 Fax: 860-482-4047
Registration Information:
NPI: 1619986627
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 | 003937 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004166139 | CT | 05 | |
| ANTHEM BCBS | 080003937CT02 | CT | 01 |
