Individual
MS. LYDIA L. MIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
66 BROAD ST, WESTFIELD, MA 01085-2927
(860) 539-0344
Mailing address
16 WILD ROSE CT, BLOOMFIELD, CT 06002-1664
(860) 539-0344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9764
MA
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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