| NPI | 1730421397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE IANNUCCI Physical Therapist, Owner 203-913-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 005735) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2014-05-16 |