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NPI Code Detail

MEDICARE: BRIAN MARSH P.T.

MEDICARE: BRIAN MARSH P.T.
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
1225100000XPhysical Therapist006982CT

General Provider Information

NPI Number : 1013935642
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MARSH P.T.
Provider Business Mailing Address
First Line : 95 WAUWINET TRL
Second Line :
City : GUILFORD
State : CT
Zip : 06437-1152
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4675 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1813
Country : US
Telephone Number : 203-373-0551
Fax Number : 203-365-6600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ BRIAN MARSH P.T.” Practice Location

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