| NPI | 1699125187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BUCKLEY Member 203-978-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 0009132) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |