| NPI | 1720562069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN JACK COHEN Owner/Physical Therapist 860-917-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2024-10-28 |