Kristyn Boscarino
Individual provider Active NPI Physical Therapist · Cromwell, CT
NPI 1760915136 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1760915136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 009671 (CT)
- Practice address
- 52 Missionary Rd
Cromwell, CT 06416-2170 - Phone
- (877) 351-1442
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009671 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009671 | CT | Yes |
Addresses
Primary practice location
52 Missionary Rd
Cromwell, CT 06416-2170
Mailing address
52 Missionary Rd
Cromwell, CT 06416-2170
Other names
- Miss Kristyn Wielgosz
Other providers in Cromwell, CT
- Denise Eilleen Bishop
- Susan Blake
- Robert Blomstrann
- Carey P Bloom
- Julie Boiselle
- Rosemary Bosse
- Brooke L Boyd
- Susan R Bozso
- Taylor Bradley
- Chelsea Joelle Brashear
All providers in Cromwell, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.