Individual
MS. MICHELLE KIJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT,CERT .MDT
Contact information
Practice address
385 CHURCH ST, GUILFORD, CT 06437-2003
(203) 453-2844
(203) 453-8772
Mailing address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-4092
(860) 274-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6844
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006844CT06
ANTHEM BC BS
CT
01
—
080006844CT07
ANTHEM BC BS
CT
01
—
080006844CT08
ANTHEM BS BS
CT
Enumeration date
10/20/2006
Last updated
10/26/2007
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