| NPI | 1063907236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS A ALBRECHT Surrogate 860-384-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 3331) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |