Individual
STACIE BETH SIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
124 WOLF HILL RD, COVENTRY, CT 06238-1192
(860) 742-9653
Mailing address
124 WOLF HILL RD, COVENTRY, CT 06238-1192
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
006128
CT
Other
Enumeration date
03/04/2006
Last updated
02/22/2015
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