# JRG PT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316471808
- **Authorized official:** MRS. YULIYA RYBATSKAYA GRONOWETTER PT (OWNER)
- **Authorized official phone:** (917) 710-3357

## Contact information

- **Practice address:** 159 STEEP HILL RD, WESTON, CT 06883-1923
- **Practice address phone:** (917) 710-3357
- **Mailing address:** 159 STEEP HILL RD, WESTON, CT 06883-1923
- **Mailing address phone:** (917) 710-3357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 010948 | CT | — |
| 225100000X | Physical Therapist | 0218961 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 04/12/2017