| NPI | 1669676599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C. GIBBONS Physical Therapist 860-658-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 004091) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |