Individual
MR. RICHARD JOSEPH PRENETA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7177
Mailing address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7177
(203) 256-9217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3438
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003438
BLUE CROSS BLUE SHIELD
CT
Enumeration date
12/13/2005
Last updated
04/25/2013
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