Individual
MICHAEL DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2296
(203) 389-4593
(203) 389-4609
Mailing address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2296
(203) 389-4593
(203) 389-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT6646
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006646CT07
ANTHEM
CT
01
—
2V4908
HEALTHNET
CT
Enumeration date
09/06/2006
Last updated
01/11/2012
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