NPI | 1659003549 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON KOPS Owner/Clinician 860-287-0570 |
Organization Subpart ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
Enumeration Date | 2022-06-29 |
Last Update Date | 2025-01-15 |