| NPI | 1376661660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CHAVEZ Physical Therapist 860-918-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 004526) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 004526) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-10-17 |