| NPI | 1447021720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WHYTOCK Occupational Therapist 860-798-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-22 |