# AJZ PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164724951
- **Authorized official:** MR. ANTHONY J ZUKOWSKI PT (OWNER)
- **Authorized official phone:** (860) 658-0308

## Contact information

- **Practice address:** 923 HOPMEADOW ST, SIMSBURY, CT 06070-1821
- **Practice address phone:** (860) 658-0308
- **Practice address fax:** (860) 651-1994
- **Mailing address:** 923 HOPMEADOW ST, SIMSBURY, CT 06070
- **Mailing address phone:** (860) 658-0308
- **Mailing address fax:** (860) 651-1994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 003265 | CT | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 04/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080003265CT03 | BCBS | CT |