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1861157323
BRIAN ROACH
NEW HAVEN, CT
NPI
1861157323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 62.002023)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
BRIAN ROACH
175 SHERMAN AVE
NEW HAVEN, CT 06511-4357
Phone number: 203-789-3271
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Mailing Address
BRIAN ROACH
50 EASTERN PKWY
MILFORD, CT 06460-5001
Phone number: 203-907-9462
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