| NPI | 1710052725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CARBON Owner 860-496-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 040327) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-11-08 |