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1790034940
DOROTA BOLTRUCZUK
STAMFORD, CT
NPI
1790034940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 001194)
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
-- DOROTA BOLTRUCZUK dorota boltruczuk
125 OAKLAWN AVE
STAMFORD, CT 06905
Phone number: 203-921-8559
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Mailing Address
-- DOROTA BOLTRUCZUK dorota boltruczuk
125 OAKLAWN AVE
STAMFORD, CT 06905
Phone number:
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