Individual
BRYAN LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
34 DALE RD., 202, AVON, CT 06001
(860) 678-8655
Mailing address
2 CRESTVIEW RD, TARIFFVILLE, CT 06081
(860) 678-8655
(860) 678-7335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10743
CT
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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