NPI | 1235303553 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE LOUISE MANCINI President 860-721-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 002805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004091) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2011-05-03 |