| NPI | 1174867113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH DORMAN Registered Physical Therapist 860-536-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 003480) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |