| NPI | 1366569964 |
|---|---|
| Doing Business As | MCLEAN OUTPATIENT REHAB |
| Entity Type | Organization |
| Authorized Contact | DAVID BORDANARO President 860-658-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 884-C) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 884-C) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-07-23 |