| NPI | 1730320474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C KOFFLER Owner 203-312-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 043130) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2011-04-18 |