| NPI | 1063520971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DISPIRITO Physical Therapist 315-737-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 008027-1) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |