Individual
LUCYNA PIETRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4749
(203) 922-1773
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002593
CT
Other
Enumeration date
12/02/2006
Last updated
05/28/2013
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