Gross, Marilyn
Gross, Marilyn is an individual health care provider with primary practice located at 800 Cottage Grove Rd , Bloomfield CT 06002-3064. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gross, Marilyn can be contacted via phone (860) 243-6571.Contact Information
Primary practice address
800 Cottage Grove Rd
Bloomfield CT 06002-3064
Phone: (860) 243-6571
Fax: (860) 243-6579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006830 | Connecticut |
Profile Details
| NPI number | 1720130040 |
|---|---|
| LBN Legal business name | Gross, Marilyn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720130040 | NPPES |
| Connecticut | Other | 080006830CT02 | BCBS PROVIDER NUMBER |
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