Individual
MR. BRIAN ELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T., A.T.C., C.S.
Contact information
Practice address
166 EAST AVE, SUITE 202, NORWALK, CT 06851-5725
(203) 957-8162
(203) 957-8165
Mailing address
166 EAST AVE, SUITE 202, NORWALK, CT 06851-5725
(203) 957-8162
(203) 957-8165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006539
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7488045
AETNA
CT
01
—
9077328
PHCS
CT
Enumeration date
04/08/2006
Last updated
06/13/2016
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