| NPI | 1386170066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL S GORIN Owner 860-707-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101246326) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |