| NPI | 1063138287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OESER Owner 518-366-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-25 |