| NPI | 1669833687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WOLF Physical Therapist 203-856-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006316) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-22 |