| NPI | 1205961547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG M. GOLDSTEIN Owner 203-250-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 005678) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 005678) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 002758) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 003550) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-06-29 |