Organization
MAGNA PHYSICAL THERAPY & GOLF MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ALBERT MAGNA SR. P.T. (OWNER)
(860) 679-0430
Entity
Organization
Contact information
Practice address
302 W MAIN ST, SUITE 204, AVON, CT 06001-3681
(860) 679-0430
(860) 679-0431
Mailing address
302 W MAIN ST, SUITE 204, AVON, CT 06001-3681
(860) 679-0430
(860) 679-0431
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004285
CT
Other
Enumeration date
10/01/2008
Last updated
01/17/2023
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