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 |