| NPI | 1790089597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILENE DEBRA TISSER Co Owner 203-545-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |