Healthcare Provider Details

I. General information

NPI: 1518929769
Provider Name (Legal Business Name): THOMAS E GUZOWSKI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 SPRINGFIELD RD
WESTFIELD MA
01085-1855
US

IV. Provider business mailing address

65 SPRINGFIELD RD
WESTFIELD MA
01085-1855
US

V. Phone/Fax

Practice location:
  • Phone: 413-568-1388
  • Fax: 413-568-1389
Mailing address:
  • Phone: 413-568-1388
  • Fax: 413-568-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17452
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: