| NPI | 1265655013 |
|---|---|
| Doing Business As | KEITH WILBERT, PT |
| Entity Type | Organization |
| Authorized Contact | KEITH WILBERT Owner 860-225-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 002360) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-10-28 |