Provider Demographics
NPI:1528630886
Name:KRYSIAK, BRIANNE (DPT)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:KRYSIAK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:112 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-5466
Mailing Address - Country:US
Mailing Address - Phone:508-964-5592
Mailing Address - Fax:508-453-8185
Practice Address - Street 1:112 HARDING ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-5466
Practice Address - Country:US
Practice Address - Phone:508-964-5592
Practice Address - Fax:508-453-8185
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist