| NPI | 1104012640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO FROSOLONE CEO 716-284-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 010913-1) |
| 225100000X Physical Therapist (Licence: 017075-1) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-03-25 |