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Individual

CRYSTAL B. MADYDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
90 GROVE ST, SUITE # 106, RIDGEFIELD, CT 06877-4114
(203) 431-8471
(203) 438-9543
Mailing address
90 GROVE ST, SUITE # 106, RIDGEFIELD, CT 06877-4114
(203) 431-8471
(203) 438-9543

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006220
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004210150
CT
01
080006220
ANTHEM BC
CT
Enumeration date
05/08/2006
Last updated
02/03/2009
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