Individual
MS. BRIANA CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 GRAND AVE, ENGLEWOOD, NJ 07631-4356
(201) 568-0900
Mailing address
5157 ELVENA AVE, PENNSAUKEN, NJ 08109-1764
(609) 320-0186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00299800
NJ
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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