| NPI | 1033918131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MORRIS Md 203-901-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-05-23 |