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Contact Information

LYNN M WISNIEWSKI, PT
1666 ROUTE 12
GALES FERRY, CT06360
 Phone: 860-464-1949
 Fax: 860-464-3118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LYNN M WISNIEWSKI · (Female)

NPI Number 1174532170
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004210
  • CT Other 080004210CT02 ANTHEM BCBS
  • CT Other 080004210CT022 ANTHEM BCBS
  • CT Other 080004210CT024 ANTHEM BCBS
  • CT Other 080004210CT23 ANTHEM BCBS
  • CT Other 080004210CT01 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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