| NPI | 1700245958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JACKSON Owner 203-271-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CT 004457) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |