| NPI | 1548716111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BADER CEO 203-407-3577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| 2251H1200X Physical Therapist Hand | |
| 2251S0007X Physical Therapist Sports | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist Hand | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-08-21 |