| NPI | 1780986539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FORTUNATO VP Finance 860-434-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2011-02-09 |