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Individual
REBECCA J. WING
Active
Individual
REBECCA J. WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16031
MA
225100000X
Physical Therapist
7112
CT
2251G0304X
Geriatric Physical Therapist
7112
CT
2251N0400X
Neurology Physical Therapist
7112
CT
2251S0007X
Sports Physical Therapist
7112
CT
2251X0800X
Orthopedic Physical Therapist
7112
CT
225400000X
Rehabilitation Practitioner
7112
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061090356
FEDERAL TAX ID#
CT
01
—
080007112CT01
ANTHEM:REBECCAJ.ANDERSON
CT
01
—
119457
AETNA GRP #
CT
01
—
764750001
CIGNA GRP #
CT
01
—
ANC1648
OXFORD GRP #
CT
01
—
C009365
CHAMPUS GRP #
CT
01
—
CONN605700112
PRIVATEHLTHCARESYS GRP#
CT
01
—
CT154333
PREFEREEDHLTHNETWRK GRP#
CT
01
—
OV1296
HEALTHNET GRP #
CT
Enumeration date
03/27/2006
Last updated
12/01/2023
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