| NPI | 1093881559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL THERESA HENDERSON Owner 860-355-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 4346) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |