Provider Demographics
NPI:1669665840
Name:CYLWIK, CHRISTINA R (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:R
Last Name:CYLWIK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:R
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:181 MAIN STREET
Mailing Address - Street 2:PETER S ZIELINSKI PHYSICAL THERAPY PC
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1110
Mailing Address - Country:US
Mailing Address - Phone:203-445-9843
Mailing Address - Fax:203-445-9847
Practice Address - Street 1:181 MAIN STREET
Practice Address - Street 2:PETER S ZIELINSKI PHYSICAL THERAPY PC
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1110
Practice Address - Country:US
Practice Address - Phone:203-445-9843
Practice Address - Fax:203-445-9847
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT080005869CT01OtherANTHEM BCBS