NPI 1033291620

Kristin Godiksen, PT

Practitioner Physical Therapist Bloomfield, CT

Practice location

Address: 34 Jerome Ave, Bloomfield, CT 06002-2463
Phone: (860) 519-1916
Mailing address: 34 Jerome Avenuee Suite # 305, Bloomfield, CT 06002-3064

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 002340 (CT)

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Registry record

NPI: 1033291620
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2006
Record last updated: 9 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.