NPI 1558035196
Glenn Breda, LMT
Practice location
- Address
- 850 Atlantic St Unit 301, Bridgeport, CT 06604-5269
- Phone
- (203) 953-2722
Registered specialties (2)
Massage Therapist
Primary
Massage Therapist
Registry record
- NPI
- 1558035196
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Aug 2021
- Record last updated
- 6 Aug 2021
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.