| NPI | 1104581107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KILLINGSWORTH Manager/Owner 860-933-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |