Brian V Elsemore PT

NPI 1023074309 - Physical Therapist - 225100000X

NPI Details
NPI 1023074309
Gender Male
Enumeration Date 04/25/2006
Last Updated 10/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2 POMPERAUG OFFICE PARK
SUITE 303
SOUTHBURY CT, 06488-2288, US
Phone (203) 264-1735
Fax (203) 264-9251
Business Location
57 JUNIPER RIDGE DR
WATERBURY CT, 06708-1933, US
Phone (203) 755-4563
Fax (203) 264-9251
Toxanomy
Taxonomy Code 225100000X
License State Connecticut
License Number 007571
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According to our database, Brian V Elsemore PT NPI is 1023074309, taxonomy code is 225100000X and license number is 007571, license state is located at Connecticut. Brian V Elsemore PT physically located at 2 Pomperaug Office Park, Southbury CT, 06488-2288. NPI Number Brian V Elsemore PT has the Individual type.

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1023074309 NPI number is provided on an as is basis without warranty of any kind. 1023074309 is maintained by the National Plan & Provider Enumeration System. The contents of Brian V Elsemore PT are for informational purposes only.