| NPI | 1255660817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN R KELLY Owner 203-372-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2013-03-27 |