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Organization

ROSS PHYSICAL THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD L ROSS PT (OWNER)
(860) 633-8040
Entity
Organization

Contact information

Practice address
52 NATIONAL DR, GLASTONBURY, CT 06033-1212
(860) 633-8040
(860) 633-8047
Mailing address
PO BOX 444, GLASTONBURY, CT 06033-0444
(860) 633-8040
(860) 633-8047

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004782
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080004782CT16
BCBS
CT
01
2V8218
HEALTHNET
CT
01
32301
CIGNA ORTHO
CT
01
4339765
AETNA
CT
Enumeration date
12/05/2006
Last updated
10/25/2013
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