Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 4521 | CT |
NPI | 1003025677 |
---|---|
Provider Name | Mr. John Joseph Alegi JR. |
First Address | Trumbull, CT 06611-4119 |
Second Address | Bloomfield, CT 06002-3064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |