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Individual

DR. BRENT MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
96 ROUTE 37, NEW FAIRFIELD, CT 06812-4804
(203) 312-0211
Mailing address
96 ROUTE 37, NEW FAIRFIELD, CT 06812
(203) 312-0211

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10520
CT
225100000X
Physical Therapist
PT4419
ME

Other

Enumeration date
07/24/2015
Last updated
07/24/2015
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