| NPI | 1609144153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WAYNE SHAW President 860-249-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |