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Individual

BRIAN KRISTOFER OWCZARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
80 STONINGTON RD STE A-3, MYSTIC, CT 06355
(860) 536-1699
(860) 536-1686
Mailing address
535 CENTERVILLE RD STE 101, WARWICK, RI 02886-4376
(401) 737-6011
(401) 737-4811

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11916
CT
225100000X
Physical Therapist
Primary
PT03152
RI

Other

Enumeration date
06/11/2018
Last updated
03/04/2020
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