Individual
ROLAND J PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-1487
(860) 274-9730
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
3018
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003018CT06
ANTHEM BC BS
CT
01
—
080003018CT07
ANTHEM BC BS
CT
Enumeration date
10/26/2006
Last updated
03/30/2008
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