Individual
MR. GARRETT WAYNE WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
211 SOUTH MAIN STREET, MIDDLETOWN, CT 06457
(860) 398-4030
(860) 894-1894
Mailing address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0134031
VT
225100000X
Physical Therapist
Primary
12454
CT
225100000X
Physical Therapist
2305212243
VA
Other
Enumeration date
08/09/2018
Last updated
03/11/2021
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