Individual
JESSICA KSIAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 CYNTHIA LN, MIDDLETOWN, CT 06457-2140
(860) 344-8121
Mailing address
65 CYNTHIA LN, MIDDLETOWN, CT 06457-2140
(860) 301-9689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10290
TN
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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