Individual
SCOTT FIDRYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 SHAILOR HILL RD, COLCHESTER, CT 06415-2509
(860) 367-4323
Mailing address
310 SHAILOR HILL RD, COLCHESTER, CT 06415-2509
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
002764
CT
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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