| NPI | 1174061683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BOYER Owner 203-939-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CT T58152) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225700000X Massage Therapist | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |