| NPI | 1003146127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE COLLEEN CLARKIN Owner/President 315-794-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 24671) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |