| Amy Nicole Sieczkowski, PT | |
|
9 Dog Ln, Suite 108, Storrs, CT 06268 | |
| (860) 429-0899 | |
| Not Available |
| Full Name | Amy Nicole Sieczkowski |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 9 Dog Ln, Storrs, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093991333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 09583 (Connecticut) | Primary |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Provider Name | Select Physical Therapy Of Connecticut Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790339992 PECOS PAC ID: 9638080625 Enrollment ID: O20191108000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Nicole Sieczkowski, PT 9 Dog Lane, Suite 108, Storrs, CT 06268 Ph: (860) 429-0899 | Amy Nicole Sieczkowski, PT 9 Dog Ln, Suite 108, Storrs, CT 06268 Ph: (860) 429-0899 |
Shea Frady, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Dog Ln Ste 108, Storrs, CT 06268 Phone: 860-429-0899 | |
Colleen Bonadies, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 843 Bolton Rd, Storrs, CT 06269 Phone: 860-486-8080 Fax: 860-486-8081 | |
Lorraine Lucio Catuccio, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Cir, Storrs, CT 06268 Phone: 487-860-2300 | |
Michael Costello, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Dog Ln Ste 108, Storrs, CT 06268 Phone: 860-429-0899 | |
Susan Glenney, PT DPT MS CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 843 Bolton Rd, U-1249, Storrs, CT 06269 Phone: 860-486-8080 Fax: 860-486-8081 | |
Katherine Van Deveire, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 843 Bolton Rd, Unit 1249, Storrs, CT 06269 Phone: 860-486-8080 Fax: 860-486-8081 |