Joanne Ross

Individual provider Active NPI Physical Therapist · Redding, CT

NPI 1821333766 · NPPES record last updated Dec 4, 2012

Key facts

NPI
1821333766
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
005139 (CT)
Practice address
9 Highland Ave
Redding, CT 06896-3201
Phone
(203) 544-9985
NPI assigned
Dec 4, 2012
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
005139CTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005139 CT Yes

Addresses

Primary practice location

9 Highland Ave
Redding, CT 06896-3201

Mailing address

9 Highland Ave
Redding, CT 06896-3201
Phone (203) 544-9985

Other providers in Redding, CT

All providers in Redding, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.