Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 2621 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 2621 | CT |
NPI | 1669696803 |
---|---|
Provider Name | Ms. Sharon Patricia Andruskiwec |
First Address | Milford, CT 06460-8235 |
Second Address | Fairfield, CT 06824-5340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 06/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004143418 | (05) | CT |