| NPI | 1609004340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORA ANN BARENHOLTZT Owner 203-292-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 003703) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 00579) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |