| NPI | 1932611324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WHITE Owner 860-490-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P11631) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |