| NPI | 1255817326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN GODIKSEN Member 860-930-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 002340) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |