| NPI | 1093118002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MCLLARKY Owner / PT 860-917-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 01852) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2015-01-28 |