Individual
MRS. KRISTINA M. KRSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
121 WINDING RD, MADISON, CT 06443-1747
(203) 421-6628
Mailing address
121 WINDING RD, MADISON, CT 06443-1747
(203) 421-6628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003809
CT
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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