| NPI | 1225553571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE J COLEMAN Owner 860-383-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003634) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |