| NPI | 1306087838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI C BLAYZOR Manager 203-207-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 043130) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-12-02 |