| NPI | 1609413491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R DEVILLE Single Member/Owner/R PT 860-302-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2019-11-29 |