Individual
MRS. BRYN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 SYCAMORE LN, MADISON, CT 06443-2303
(203) 245-3785
Mailing address
15 SYCAMORE LN, MADISON, CT 06443-2303
(203) 245-3785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005387
CT
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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