| NPI | 1407090475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ST. LOUIS Owner 860-268-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 006488) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |