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Individual

BRIAN ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
175 SHERMAN AVE, NEW HAVEN, CT 06511-4357
(203) 789-3271
Mailing address
50 EASTERN PKWY, MILFORD, CT 06460-5001
(203) 907-9462

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
62.002023
CT

Other

Enumeration date
11/01/2021
Last updated
11/01/2021
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