| NPI | 1568820033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ASHLEY KNAPP President 860-740-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2023-10-16 |