| NPI | 1851739098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE BARLETTA Billing Administrator 203-230-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2024-01-18 |