MEDICARE: MR. SETH ANDREW HAGYMASI MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	007942	CT

General Provider Information

NPI Number	:	1598844250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SETH ANDREW HAGYMASI MSPT

Provider Business Mailing Address
First Line	:	560 WOOD DUCK DR
Second Line	:
City	:	TORRINGTON
State	:	CT
Zip	:	06790-2587
Country	:	US
Telephone Number	:	860-496-4676
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 SIEMON COMPANY DR
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2654
Country	:	US
Telephone Number	:	860-274-7573
Fax Number	:	860-274-5698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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