Individual
LAURA KOZIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
4 GREENTREE DR, WATERFORD, CT 06385-4116
(860) 442-0647
(860) 437-0123
Mailing address
32 UPPER WALNUT HILL RD, EAST LYME, CT 06333-1021
(860) 440-0764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002433
CT
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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