BRIAN WIRTALLA

MANCHESTER, CT
NPI1659799823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  9872)
Enumeration Date2014-04-03
Last Update Date2014-04-03
Business Address
-- BRIAN WIRTALLA DPT, CSCS
29 HAYNES ST SUITE A
MANCHESTER, CT 06040-4139
Phone number: 860-649-2267
Mailing Address
-- BRIAN WIRTALLA DPT, CSCS
181 PATRICIA M GENOVA DR
NEWINGTON, CT 06111-1500
Phone number: 860-696-2550
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