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Individual

BRIAN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 359-8326
(203) 328-2696
Mailing address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 359-8326
(203) 328-2696

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7562
CT
225100000X
Physical Therapist
Primary
7562
CT

Other

Enumeration date
07/18/2006
Last updated
03/07/2023
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