| NPI | 1851000749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RIFFLARD Office Manager 203-856-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |