Individual
AMY NICOLE SIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9 DOG LN, SUITE 108, STORRS, CT 06268
(860) 429-0899
Mailing address
9 DOG LANE, SUITE 108, STORRS, CT 06268
(860) 429-0899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09583
CT
Other
Enumeration date
01/16/2008
Last updated
11/07/2012
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