Individual
MR. ANTHONY J ZUKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
923 HOPMEADOW ST, SIMSBURY, CT 06070-1821
(860) 658-0308
(860) 651-1994
Mailing address
923 HOPMEADOW ST, SIMSBURY, CT 06070-1821
(860) 658-0308
(860) 651-1994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003265
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003265CT03
ANTHEM BLUE CROSS
—
01
—
4478157
AENTA US HEALTHCARE
—
Enumeration date
07/22/2005
Last updated
04/29/2013
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