| Organization Name: | MEDICAL MASSAGE REHAB |
| NPI Number: | 1114363348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE R JOYNER (PRESIDENT) |
| Mailing Address: | 2049 Silas Deane Hwy Suite 202 Rocky Hill |
| State: | CT US |
| Postal Code: | 060672332 |
| Phone Number: | 8607210249 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2013 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 6568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |