Whalio Doctors

NPI 1023074309

Brian V Elsemore, PT

Practitioner Physical Therapist Southbury, CT

Practice location

Address
2 Pomperaug Office Park Suite 303, Southbury, CT 06488-2288
Phone
(203) 264-1735
Fax
(203) 264-9251
Mailing address
57 Juniper Ridge Dr, Waterbury, CT 06708-1933

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 007571 (CT)

Registry record

NPI
1023074309
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Apr 2006
Record last updated
29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.