| NPI | 1104027259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENU VERMA Owner 716-564-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251C2600X Physical Therapist Cardiopulmonary (Licence: NY 020375-1) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |