Robert Edward Douglass PT, ATC

NPI 1134281587 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1134281587
Gender Male
Enumeration Date 12/14/2006
Last Updated 03/08/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
22 TOMPKINS ST
WATERBURY CT, 06708-1458, US
Phone (203) 419-0381
Fax (203) 419-0389
Business Location
22 TOMPKINS ST
WATERBURY CT, 06708-1458, US
Phone (203) 419-0381
Fax (203) 419-0389
Toxanomy
Taxonomy Code 2255A2300X
License State Connecticut
License Number 000174
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According to our database, Robert Edward Douglass PT, ATC NPI is 1134281587, taxonomy code is 2255A2300X and license number is 000174, license state is located at Connecticut. Robert Edward Douglass PT, ATC physically located at 22 Tompkins St, Waterbury CT, 06708-1458. NPI Number Robert Edward Douglass PT, ATC has the Individual type.

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1134281587 NPI number is provided on an as is basis without warranty of any kind. 1134281587 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Edward Douglass PT, ATC are for informational purposes only.