Individual
BRYAN THOMAS O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1250 SUMMER ST, STAMFORD, CT 06905-5358
(203) 975-1545
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(203) 975-1545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009155
CT
Other
Enumeration date
07/18/2011
Last updated
08/23/2016
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