| NPI | 1194098137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BOYER Owner 203-984-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 002967) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CT T58152) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |