Individual
MR. KEITH WILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
195 W MAIN ST, NEW BRITAIN, CT 06052-1318
(860) 225-0674
(860) 223-3330
Mailing address
195 W MAIN ST, NEW BRITAIN, CT 06052-1318
(860) 225-0674
(860) 223-3330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002360
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002360CT02
BLUE CROSS
CT
Enumeration date
07/26/2006
Last updated
07/08/2007
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