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1285093807
ALEXANDER MATTHEW BLANK
OLD GREENWICH, CT
NPI
1285093807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 11196)
Enumeration Date
2016-02-11
Last Update Date
2019-10-08
Business Address
Mr. ALEXANDER MATTHEW BLANK DPT
1445 E PUTNAM AVE
OLD GREENWICH, CT 06870
Phone number: 202-745-8000
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Mailing Address
Mr. ALEXANDER MATTHEW BLANK DPT
1445 E PUTNAM AVE
OLD GREENWICH, CT 06870
Phone number: 203-731-7075
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