| NPI | 1134489115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R. ERTEL Sole Owner 716-491-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 263500) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |