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Individual

MRS. NATALIA ROTHEY GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
90 GROVE ST, SUITE 106, RIDGEFIELD, CT 06877-4114
(203) 403-3519
Mailing address
90 GROVE ST, SUITE 106, RIDGEFIELD, CT 06877-4114
(203) 403-3519

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
027428-1
NY
225100000X
Physical Therapist
Primary
9028
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013086131
ANTHEM BLUE CROSS
CT
Enumeration date
11/06/2006
Last updated
09/19/2016
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