| NPI | 1255590675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J PRENETA Business Owner 203-259-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 003438) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-08-10 |