| NPI | 1235204009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P HENDRIKSON President 203-755-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-02-18 |