Individual
BRIAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 MILLER LN, WINDSOR, PA 17366-8477
(410) 703-0448
Mailing address
98 MILLER LN, WINDSOR, PA 17366-8477
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
A2790
MD
172M00000X
Mechanotherapist
Primary
TE009282
PA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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