| NPI | 1538250642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERDT PROPFE Clinical Director 860-446-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 1847) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |