BRIAN ROACH
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1861157323- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 175 SHERMAN AVE, NEW HAVEN, CT, 065114357
- Phone
- (203) 789-3271
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CT #62.002023