| NPI | 1902003650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY GEORGE Owner 203-454-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 003419) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-18 |