| NPI | 1801018882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE THIBEAULT Owner 203-630-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 6033) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-08-06 |