| NPI | 1063826949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JOSLIN Sole Member 607-624-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL 31373) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |