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 |