Individual
JOEL PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2296
(203) 389-4593
(203) 389-4609
Mailing address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2296
(203) 389-4593
(203) 389-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7421
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007421CT05
ANTHEM BC BS
CT
01
—
080007421CT06
ANTHEM BC BS
CT
01
—
080007421CT07
ANTHEM BC BS
CT
Enumeration date
10/26/2006
Last updated
01/12/2012
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