Individual
BEATA WYSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 NEW BRITAIN AVE, HARTFORD, CT 06106-4039
(860) 527-9126
Mailing address
177 TROLLEY CROSSING LN, MIDDLETOWN, CT 06457-5851
(860) 324-7873
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNAVAILABLE
UNAVAILABLE
—
Enumeration date
10/21/2020
Last updated
10/21/2020
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