| NPI | 1639666738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GENEST Owner, Primary Physical Therapist 860-307-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 011053) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-08-07 |