| Doctor Name: | MR. BRYAN M MEHIGEN |
| NPI Number: | 1053661785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 9536 |
| Business Practice Address: | 506 Cromwell Ave Ste 103 Rocky Hill, CT - 060671851 |
| Business Phone Number: | 8607219801 |
| Business Fax Number: | 8607218475 |
| Mailing Address: | 506 Cromwell Ave Ste 103, ROCKY HILL |
| State: | CT |
| Postal Code: | 060671851 |
| Phone Number: | 8607219801 |
| Fax Number: | 8607218475 |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 9536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |