| NPI | 1407903545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T WILLIAMS Owner 203-882-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CT 4793) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 004793) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-27 |