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1720693070
ALEXANDER RICHARD MARTIN
WATERBURY, CT
NPI
1720693070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 12792)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
ALEXANDER RICHARD MARTIN
2154 E MAIN ST
WATERBURY, CT 06705-2608
Phone number: 203-575-0516
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Mailing Address
ALEXANDER RICHARD MARTIN
22 TOMPKINS STREET
WATERBURY, CT 06708-1458
Phone number: 203-598-0600
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