| NPI | 1992125330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLLYNN CATHERINE ALBANESE Practice Manager 860-489-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-07-10 |