Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 010015 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 20208 | MA |
NPI | 1003165853 |
---|---|
Provider Name | Alyson Paliwoda |
First Address | Thomaston, CT 06787-1505 |
Second Address | Waterbury, CT 06705-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 03/01/2019 |