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 |