| NPI | 1003118746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M DESOTELLE Owner/Physical Therapist 716-631-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012083) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-20 |