| NPI | 1194019018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E MOSIER Treasurer/Cft 860-628-5514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 2028-c) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |