| Formula For Performance & Rehab, Llc | |
|
59 Valley Forge Rd, Weston, CT 06883-1912 | |
| (203) 227-6666 | |
| Not Available |
| Full Name | Formula For Performance & Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 59 Valley Forge Rd, Weston, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992114508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kevin Neresh Baldeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235565417 PECOS PAC ID: 2163657990 Enrollment ID: I20131101000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Formula For Performance & Rehab, Llc 59 Valley Forge Rd, Weston, CT 06883-1912 Ph: (203) 227-6666 | Formula For Performance & Rehab, Llc 59 Valley Forge Rd, Weston, CT 06883-1912 Ph: (203) 227-6666 |
Julius Barbat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Great Hill Rd, Weston, CT 06883 Phone: 203-227-8068 | |
Jrg Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Steep Hill Rd, Weston, CT 06883 Phone: 917-710-3357 | |
Mrs. Yuliya Rybatskaya Gronowetter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Steep Hill Rd, Weston, CT 06883 Phone: 917-710-3357 |