| NPI | 1598258519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HOM Owner 203-589-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 2028) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2020-09-24 |