| NPI | 1407346158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALLEN WARNER Managing Therapist 860-912-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |