| NPI | 1457214777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL-ANNE H HICKS Physical Therapist 203-286-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2026-01-17 |