| NPI | 1326100702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE FEGAN Owner 203-458-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-03-05 |