Individual provider · Type 1 NPI

Brian R. Wally, DPT

Physical Therapist · Glastonbury, CT

NPI number 1053760157 Active

Practice location

2520 Main St Ste 2
Glastonbury, CT 06033-4250

Fax (860) 856-6945

Mailing address

PO Box 417594
Boston, MA 02241-7594

Other practice locations

  • 94 Main St, Gorham, ME 04038-1340 · (207) 839-5860

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT4733 (ME)
Physical Therapist Primary 225100000X011339 (CT)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1053760157

Brian R. Wally, DPT's National Provider Identifier is 1053760157, issued on Jun 9, 2016. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Glastonbury, CT. The record was last updated on Jun 22, 2021.