Individual
BRYAN KEITH GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
173 OAKWOOD AVENUE, WEST HARTFORD, CT 06119
(860) 503-3676
(860) 503-3708
Mailing address
173 OAKWOOD AVENUE, WEST HARTFORD, CT 06119
(860) 503-3676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008859
CT
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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