| NPI | 1255598660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RADOCY Office Manager 203-255-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007752) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |