| NPI | 1972753911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE-JEAN CONNAL Manager, Ct Lymphatic 203-907-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CT 502651) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-11-10 |