| NPI | 1427599414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DEVLIN Director Of Finance And Administrat 860-693-6226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |