| NPI | 1013163492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY KLEIN Physical Therapist 315-399-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 015163) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2020-02-07 |