Individual
MR. JEROME LOUIS LIBERATORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
181 MAIN ST, PETER S ZIELINSKI PHYSICAL THERAPY PC, MONROE, CT 06468-1110
(203) 445-9843
(203) 445-9847
Mailing address
181 MAIN ST, PETER S ZIELINSKI PHYSICAL THERAPY PC, MONROE, CT 06468-1110
(203) 445-9843
(203) 445-9847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006222
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2747830
AETNA
—
01
—
2V5870
HEALTH NET FACILITY #
—
01
—
37901
ORTHONET CIGNA GRP #
—
01
—
9906497
CIGNA GROUP #
—
01
—
P2122523
OXFORD
—
Enumeration date
09/20/2005
Last updated
07/08/2007
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