| NPI | 1831594829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND KUMAR BISHNOI Director/Owner 860-257-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 004389) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CT 004389) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CT 004389) | |
| 261Q00000X Clinic/Center (Licence: CT 004389) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2016-04-13 |