| NPI | 1154400927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JARECKI Owner 203-256-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 004349) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |