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Provider Information for 1124188917


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KAREN WOJCIK PT


Sex: Female

NPI: 1124188917
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1124188917
Enumeration Date2006-12-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 181 PATRICIA GENOVA DRIVE
EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
United States

Phone: 860-667-5480 | Fax:860-667-8416
 
Primary Practice Address 181 PATRICIA GENOVA DRIVE
EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
United States

Phone: 860-667-5480 | Fax:860-667-8416
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 225100000X - Physical Therapist CT006671