Organization
JRG PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YULIYA RYBATSKAYA GRONOWETTER PT (OWNER)
(917) 710-3357
Entity
Organization
Contact information
Practice address
159 STEEP HILL RD, WESTON, CT 06883-1923
(917) 710-3357
Mailing address
159 STEEP HILL RD, WESTON, CT 06883-1923
(917) 710-3357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
010948
CT
225100000X
Physical Therapist
Primary
0218961
NY
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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