Individual
EWA NIZIELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N MAIN ST STE 30, WEST HARTFORD, CT 06107-1936
(860) 402-0283
Mailing address
266 SAVAGE HILL RD, BERLIN, CT 06037-3322
(860) 402-0283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5195
CT
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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