| NPI | 1083834758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FARRELL Office Manager 585-346-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012242) |
| 225100000X Physical Therapist (Licence: NY 017728) | |
| 225100000X Physical Therapist (Licence: NY 023289) | |
| 225100000X Physical Therapist (Licence: NY 018661) | |
| 225100000X Physical Therapist (Licence: NY 009223) | |
| 225100000X Physical Therapist (Licence: NY 026428) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-08-05 |