| NPI | 1356884522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD GREGORY VENZIE Physical Therapist/Owner 860-644-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 007148) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 4793) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 002397) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-04-13 |