Provider Demographics
NPI:1053522250
Name:ZELINSKY, PAUL ROBERT (RPT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ROBERT
Last Name:ZELINSKY
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WOODSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-2249
Mailing Address - Country:US
Mailing Address - Phone:860-646-8229
Mailing Address - Fax:860-533-4671
Practice Address - Street 1:35 WOODSTOCK DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-2249
Practice Address - Country:US
Practice Address - Phone:860-646-8229
Practice Address - Fax:860-533-4671
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003589225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist