Individual
MR. TODD MICHAEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
210 MAIN ST, OLD SAYBROOK, CT 06475-2333
(860) 670-1125
Mailing address
2 WILDWOOD RD, OLD SAYBROOK, CT 06475-2733
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
005897
CT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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