Individual
LIV FORBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
66 GROVE ST, SUITE A, RIDGEFIELD, CT 06877-4112
(203) 438-1898
(203) 438-1864
Mailing address
66 GROVE ST, SUITE A, RIDGEFIELD, CT 06877-4112
(203) 438-1898
(203) 438-1864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006728
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00H4
EMPIRE BLUE CROSS
NY
Enumeration date
02/06/2006
Last updated
07/08/2007
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