| Organization Name: | UNIVERSITY OF CONNECTICUT |
| NPI Number: | 1639225410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEREMY P VIGNEAULT (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 843 Bolton Road U-1249 Storrs Mansfield |
| State: | CT US |
| Postal Code: | 062691249 |
| Phone Number: | 8604868080 |
| Fax Number: | 8604868081 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |