| NPI | 1417156399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN ANETRELLA Owner 203-440-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 006419) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-08-22 |