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MR. ROBERT G ROSS MPT

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

Registrant NPI Number: 1619986627

Individual Registrant:
MR. ROBERT G ROSS MPT
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

Contact information for business:
245 ALVORD PARK ROAD SUITE 2 TORRINGTON, CT 06790-3493 US
Tel: 860-496-9851  Fax: 860-482-4047

Registration Information:
NPI: 1619986627
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003937

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004166139CT05
ANTHEM BCBS080003937CT02CT01




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