Organization
CONNECTICUT SPINE & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY VINCENT ROEGIERS PT (OWNER)
(860) 347-1302
Entity
Organization
Contact information
Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 347-1302
(860) 347-1305
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 347-1302
(860) 347-1305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003388
CT
Other
Enumeration date
06/13/2007
Last updated
09/04/2007
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