| NPI | 1801345699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL FENNELL Physical Therapist/Owner 203-431-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 004216) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |