Individual
ROMAN TARAS SLEVINSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25 QUINEBAUG AVE, PUTNAM, CT 06260-1943
(860) 928-3533
(860) 928-3533
Mailing address
PO BOX 686, PUTNAM, CT 06260-0686
(860) 928-3533
(860) 928-3533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2835
CT
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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