Individual
SALLY A BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0004474
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004474CT01
BCBS
CT
01
—
11241398
CAQH
CT
Enumeration date
03/16/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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