| NPI | 1093860595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR C JASEN Owner 518-371-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: NY 022235) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-06-21 |