| NPI | 1063882850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE BURCH Managing Member 203-415-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003953) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |