NPI 1699136747

Regina Kostyun, ATC

Practitioner Specialist Farmington, CT

Practice location

Address: 399 Farmington Ave Suite 300, Farmington, CT 06032
Phone: (860) 284-0220

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 559 (CT)

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Registry record

NPI: 1699136747
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2016
Record last updated: 17 Mar 2016

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.