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NPI Code Detail

MEDICARE: TEAM REHAB PC

MEDICARE: TEAM REHAB PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCT

General Provider Information

NPI Number : 1750342440
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEAM REHAB PC
Provider Business Mailing Address
First Line : 22 EAGLE RD
Second Line :
City : DANBURY
State : CT
Zip : 06810-4129
Country : US
Telephone Number : 203-778-8326
Fax Number : 203-792-9170
Provider Business Practice Location Address
First Line : 22 EAGLE RD
Second Line :
City : DANBURY
State : CT
Zip : 06810-4129
Country : US
Telephone Number : 203-778-8326
Fax Number : 203-792-9170
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. RANDOLPH LEE TROWBRIDGE
Credential : MD
Telephone Number : 203-778-8326
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/28/2008

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1720098247 — DR. RANDOLPH LEE TROWBRIDGE MD
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22 EAGLE RD
DANBURY, CT
06810-4129
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Practice Fax: 203-792-9170

Directions to “TEAM REHAB PC ” Practice Location

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