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Individual
KYLE BRANDAY
Active
Individual
KYLE BRANDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT008058
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008058CT01
BLUE CROSS
CT
Enumeration date
03/13/2007
Last updated
01/11/2012
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