| NPI | 1891733457 |
|---|---|
| Doing Business As | NORTHEAST PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RONELL RONLEY OWENS Official 203-368-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-11-27 |