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Organization
ROSS PHYSICAL THERAPY SERVICES LLC
Active
Organization
ROSS PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L ROSS PT (OWNER)
(860) 633-8040
Entity
Organization
Contact information
Practice address
52 NATIONAL DR, GLASTONBURY, CT 06033-1212
(860) 633-8040
(860) 633-8047
Mailing address
PO BOX 444, GLASTONBURY, CT 06033-0444
(860) 633-8040
(860) 633-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004782
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004782CT16
BCBS
CT
01
—
2V8218
HEALTHNET
CT
01
—
32301
CIGNA ORTHO
CT
01
—
4339765
AETNA
CT
Enumeration date
12/05/2006
Last updated
10/25/2013
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