Individual
JENNIFER STAWARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 FARMINGTON AVE, BRISTOL, CT 06010-3990
(860) 582-8024
Mailing address
1001 FARMINGTON AVE, BRISTOL, CT 06010-3990
(860) 582-8024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007502
LICENSE #
CT
Enumeration date
08/29/2006
Last updated
03/06/2015
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