| NPI | 1063523652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M ZEE Administrator 860-286-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |