Dr. Alexander J Backus, DPT
Physical Therapist in Waterbury, CT. Individual provider (NPI-1).
NPI number1073189486
StatusActive
Last updated in NPPESMay 27, 2021
Details
- NPI
- 1073189486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexander J Backus
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2021
- Certification date
- May 27, 2021
- Last updated
- May 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 13105 | CT | Yes |
Practice location
8 S Commons RdWaterbury, CT 06704-1035
Phone 203-759-1229
Mailing address
258 Anthony RdTolland, CT 06084-3523
Phone 860-463-8373
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