Individual
KIMBERLY SUSAN MISIASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
390 CHARLES ST APT 220, BRIDGEPORT, CT 06606-5677
(203) 209-6930
Mailing address
390 CHARLES ST APT 220, BRIDGEPORT, CT 06606-5677
(203) 209-6930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7301
CT
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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