| NPI | 1932516119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DJOANA CLARA HERRERA BAKANI Physical Therapist 203-252-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CT 007561) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2022-11-28 |