Individual
PATRICK LIBOR WASZCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 EMILY WAY, WEST HARTFORD, CT 06107-3136
(800) 385-2527
Mailing address
109 HUBBARD ST, GLASTONBURY, CT 06033-2933
(860) 884-0924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
484022
CT
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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