Rebecca Robbins, PT

Individual provider Active NPI Physical Therapist · Granby, CT

NPI 1124134481 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1124134481
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006768 (CT)
Practice address
97 Salmon Brook St
Granby, CT 06035-2607
Phone
(860) 844-8912
Fax
(860) 653-6395
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006768CTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006768 CT Yes

Addresses

Primary practice location

97 Salmon Brook St
Granby, CT 06035-2607

Mailing address

97 Salmon Brook St
Granby, CT 06035-2607
Phone (860) 844-8912

Other identifiers

IdentifierTypeStateIssuer
004253358MedicaidCT

Other names

  • Rebecca Squires Former name

Other providers in Granby, CT

All providers in Granby, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.