| NPI | 1114979226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN CARLSON CEO 860-799-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-07-15 |