| NPI | 1073565735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYELET CONNELL-GIAMMATTEO Secretary (Board/Officer) 860-243-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-03-15 |