Doctor Name: | MR. ROBBIE OUELLETTE |
NPI Number: | 1275753451 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | CT 005592 |
Business Practice Address: | 116 Pilgrim Rd Bristol, CT - 060103130 |
Business Phone Number: | 8602615211 |
Business Fax Number: | |
Mailing Address: | 116 Pilgrim Rd, BRISTOL |
State: | CT |
Postal Code: | 060103130 |
Phone Number: | 8602615211 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | CT 005592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |