| NPI | 1174749329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SMULLEN Executive Director 860-696-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-05-08 |