Individual
MR. MICHAEL MYSLIWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001233
CT
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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