Individual
MR. BRIAN ISAMU AIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 GROVE ST, PORTLAND, CT 06480-1956
(973) 224-2401
Mailing address
9 GROVE ST, PORTLAND, CT 06480-1956
(973) 224-2401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007989
CT
Other
Enumeration date
03/21/2007
Last updated
01/20/2025
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