| NPI | 1891789608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FRANCIS ST THOMAS Owner/Member 860-409-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2012-04-10 |