| NPI | 1942638473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WILSON Physical Therapist Owner 203-313-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 3001) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |