NPI | 1073554788 |
---|---|
Doing Business As | OAKDALE PHYSICAL THERAPY & FITNESS |
Entity Type | Organization |
Authorized Contact | JOHN K KONIUTO Owner 607-217-0827 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-01-15 |