| NPI | 1114471398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN BRUNSCHEEN Physical Therapist 607-756-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 039195-1) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |