| NPI | 1063817781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL JOHNSON Owner 716-550-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P14517) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |