| NPI | 1841301561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G MCKIERNAN Owner 203-268-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 004917) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CT 004917) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 004917) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-30 |