Individual
DAVID CEGELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
47 VERNON ST, WATERBURY, CT 06708-3008
(203) 753-6043
(203) 574-3127
Mailing address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-4092
(860) 274-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3406
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003406CT03
ANTHEM BC BS
CT
01
—
080003406CT05
ANTHEM BBC BS
CT
Enumeration date
10/20/2006
Last updated
10/26/2007
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