Provider Demographics
NPI:1346276979
Name:SZYMULA, VICTORIA ROSE (ATC, CSCS)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:ROSE
Last Name:SZYMULA
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06793-1200
Mailing Address - Country:US
Mailing Address - Phone:860-868-2898
Mailing Address - Fax:
Practice Address - Street 1:99 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06793-1200
Practice Address - Country:US
Practice Address - Phone:860-868-2898
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer