Individual
BRIANA BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LA ROSA LN, MIDDLETOWN, CT 06457-2148
(860) 704-4500
Mailing address
200 LA ROSA LN, MIDDLETOWN, CT 06457-2148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
09/25/2023
Last updated
08/27/2025
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