Individual
MR. BRIAN ALBERT MAGNA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
302 W. MAIN STREET, SUITE 152, AVON, CT 06001
(860) 679-0430
(860) 679-0431
Mailing address
302 W. MAIN STREET, SUITE 152, AVON, CT 06001
(860) 679-0430
(860) 679-0431
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004285
CT
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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