| Brendan Law, | |
|
760 Main St S Ste D, Southbury, CT 06488-4248 | |
| (203) 437-6155 | |
| (203) 547-7899 |
| Full Name | Brendan Law |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 760 Main St S Ste D, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215767819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14560 (Connecticut) | Primary |
| Provider Name | Anb-ptsma Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan Law, 47 N Main St, West Hartford, CT 06107-1926 Ph: () - | Brendan Law, 760 Main St S Ste D, Southbury, CT 06488-4248 Ph: (203) 437-6155 |
Mandy Baniszewski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329 | |
Brian V Elsemore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488 Phone: 203-264-1735 Fax: 203-264-9251 | |
Saira Afzal, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 | |
Nicole Marie Diroberto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329 | |
Jennifer Ruiz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mrs. Donna M. Leddy, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Main St S, Suite 212, Southbury, CT 06488 Phone: 203-262-4603 | |
Richard H Welsh Iii, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park, Southbury, CT 06488 Phone: 203-264-1735 Fax: 203-264-9251 |