NPI 1770315459

Brandon Walker, PTA

Practitioner Physical Therapy Assistant Southbury, CT

Practice location

Address: 690 Main St So Suite 5, Southbury, CT 06488-2268
Phone: (203) 267-4060
Mailing address: 22 Tompkins St --, Waterbury, CT 06708-1458

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1770315459
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2024
Record last updated: 20 Aug 2024

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.