| NPI | 1952676371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN FRISBIE Administrative Assistant 860-696-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |