Individual
ERIC TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 WESTBURY PARK RD, WATERTOWN, CT 06795-2779
(860) 274-7573
Mailing address
76 WESTBURY PARK RD, WATERTOWN, CT 06795-2779
(860) 274-7573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009531
CT
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/03/2012
Last updated
05/06/2026
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