Individual
STANLEY RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
333 POST RD W, WESTPORT, CT 06880-4754
(203) 422-0679
Mailing address
35 RIVER RD, COS COB, CT 06807-2759
(203) 422-0679
(203) 422-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0195371
NY
225100000X
Physical Therapist
8998
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00218226
RAILROAD MEDICARE
NY
Enumeration date
10/10/2006
Last updated
08/18/2016
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