| NPI | 1598938052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SAVIDGE Owner 860-430-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007000) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CT 007000) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CT 007000) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |