| NPI | 1881433407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PERRY Program Manager 860-781-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-06-09 |