| NPI | 1649436700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LEE GRANGER Sole Member 203-546-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 008174) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2013-06-19 |