Individual
MR. ALEXANDER MATTHEW BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1445 E PUTNAM AVE, OLD GREENWICH, CT 06870
(202) 745-8000
Mailing address
1445 E PUTNAM AVE, OLD GREENWICH, CT 06870
(203) 731-7075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11196
CT
Other
Enumeration date
02/11/2016
Last updated
10/08/2019
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