Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dorota Boltruczuk, DOROTABOLTRUCZUK

Individual provider Physical Therapy Assistant · NPI 1790034940

Dorota Boltruczuk, DOROTABOLTRUCZUK is a Physical Therapy Assistant in Stamford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2012

Practice location Address checks out

125 Oaklawn Ave
Stamford, CT 06905 Not confirmed with CMS for 14 years — call before visiting
Phone: (203) 921-8559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 001194 (CT)

Record details

NPI number1790034940
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOROTABOLTRUCZUK
Sole proprietorYes
NPI enumeratedSeptember 4, 2012
Last updated in NPPESSeptember 4, 2012

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