Jeanette Marie Rohan, PT

Individual provider Active NPI Physical Therapist · Columbia, CT

NPI 1285863019 · NPPES record last updated Jul 14, 2009

Key facts

NPI
1285863019
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
002258 (CT)
Practice address
44 Laurel LN
Columbia, CT 06237-1012
Phone
(860) 228-4445
Fax
(860) 228-4445
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

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
002258CTMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002258 CT Yes

Addresses

Primary practice location

44 Laurel LN
Columbia, CT 06237-1012

Mailing address

44 Laurel LN
Columbia, CT 06237-1012
Phone (860) 228-4445

Other providers in Columbia, CT

All providers in Columbia, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.