| NPI | 1134872278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI NGUYEN Owner/Executive Director 203-530-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |