| NPI | 1104421304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SMITH Physical Therapist/Owner 716-444-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |