| NPI | 1609025394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MAIETTA Owner 860-648-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 07875) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2015-12-14 |