Provider Demographics
NPI:1619603347
Name:DOBRATZ, JOSHUA WAYNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:WAYNE
Last Name:DOBRATZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3732
Mailing Address - Country:US
Mailing Address - Phone:860-681-9564
Mailing Address - Fax:
Practice Address - Street 1:30 CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1658
Practice Address - Country:US
Practice Address - Phone:203-426-8449
Practice Address - Fax:203-426-8980
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist