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ROLAND J PERREAULT PT

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

Registrant NPI Number: 1871678045

Individual Registrant:
 ROLAND J PERREAULT PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
27 DEPOT ST  WATERTOWN, CT 06795-2601 US
Tel: 860-274-1487  Fax: 860-274-9730

Contact information for business:
27 DEPOT ST  WATERTOWN, CT 06795-2601 US
Tel: 860-274-4092  Fax: 860-274-4099

Registration Information:
NPI: 1871678045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT3018

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM BC BS080003018CT06CT01
ANTHEM BC BS080003018CT07CT01




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