| NPI | 1043488059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KENNETH GAMBLE Physical Therapist/Owner 860-887-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 003827) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-03-12 |