| NPI | 1144197260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON REGRUIT Owner 585-362-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2026-01-13 |