| NPI | 1740722040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BAUER Owner 203-458-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 11188) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |