| NPI | 1245466846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN MARIE CLARK Owner 203-270-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CT 004454) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |