| NPI | 1184644015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH B. HEILMAN Manager 860-604-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 006527) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |