| NPI | 1609368133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MCCONNELL Member 860-281-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 002593) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |