| NPI | 1063879427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIF TABBAH Owner/Physical Therapist 203-550-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 27956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29301) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-03-07 |