IAN BROKAW

CANTON, CT
NPI1356838262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CT  10642)
Additional Taxonomies2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CT  10642)
Enumeration Date2018-04-16
Last Update Date2018-04-16
Business Address
IAN BROKAW DPT
65 ALBANY TPKE
CANTON, CT 06019-2507
Phone number: 860-693-6226
Mailing Address
IAN BROKAW DPT
PO BOX 466
CANTON, CT 06019-0466
Phone number: 860-693-6226
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