| NPI | 1952791329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA DIMATTIA Owner 203-569-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 0006532) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |