| NPI | 1598868192 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL D POWERS Administrator 860-257-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-08-02 |