NPI | 1063650901 |
---|---|
Former Legal Business Name | TLCPT |
Entity Type | Organization |
Authorized Contact | TARA LYNN COLLINS Physical Therapist/Owner 203-345-1720 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 004078) |
Enumeration Date | 2009-01-30 |
Last Update Date | 2018-05-03 |