Jrg Pt

NPI #1316471808 in Weston, Connecticut

Provider Information

NPI Number: 1316471808
Entity Type: Organization
Organization Name: Jrg Pt
Primary Specialty: Physical Therapist
Enumeration Date: Apr 12, 2017
Last Updated: Apr 12, 2017

Practice Location

Address: 159 STEEP HILL RD
City: Weston
State: Connecticut
ZIP Code: 06883-1923
Phone: (917) 710-3357

Authorized Official

Name: MRS. YULIYA RYBATSKAYA GRONOWETTER, PT
Title: OWNER
Phone: (917) 710-3357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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