| NPI | 1548411234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALBERT MAGNA Owner 860-679-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 004285) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-01-17 |