Individual
BETH A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5 EDGEWOOD AVE, GREENWICH, CT 06830-5211
(203) 302-3570
Mailing address
105 SNOW CRYSTAL LN, STAMFORD, CT 06905-1821
(203) 302-3570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005399
CT
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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