Robert Edward Douglass in Waterbury - Physical Therapist

Robert Edward Douglass - NPI 1134281587

Robert Edward Douglass is a Physical Therapist in Waterbury, Connecticut. Robert Edward Douglass practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Robert Edward Douglass is 1134281587. The last update date is 2013-03-08.

Robert Edward Douglass's current location address is 22 Tompkins St, Waterbury, Connecticut. You can contact this provider via phone number 2034190381 and fax number 2034190389. The mailing address for Robert Edward Douglass is 22 Tompkins St, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Edward Douglass
Address 22 Tompkins St, Waterbury, Connecticut
Phone Number 2034190381
Fax Number 2034190389
Sole Proprietor N
Credentials PT, ATC

NPI Number Detail

NPI Number 1134281587
Provider Enumeration Date 2006-12-14
Last Updated Date 2013-03-08

Provider Mailing Address Detail

Address 22 Tompkins St
City Waterbury
State Connecticut (CT)
Post Code 67081458
Phone Number 2034190381
Fax Number 2034190389

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 6694
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6694 CT PHYSICAL THERAPY LICENSE
4190328 CT --
174 CT ATC LICENSE

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FAQs about Robert Edward Douglass

What is the unique 10-digit identifier code issued to Robert Edward Douglass by the Centers for Medicare & Medicaid Services?

The Robert Edward Douglass has been assigned the NPI (National Provider Identifier) 1134281587 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Robert Edward Douglass's physical address?

The Robert Edward Douglass is physically located at 22 Tompkins St, in the city of Waterbury, CT, with the postal code 67081458.

What is Robert Edward Douglass's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Edward Douglass is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

When was the Robert Edward Douglass's 1134281587 issued?

The Robert Edward Douglass's 1134281587 was issued on 2006-12-14.

When was the information pertaining to Robert Edward Douglass most recently updated or revised?

The details related to Robert Edward Douglass, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-08.

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