| NPI | 1144719188 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RYAN GOODELL Owner/Physical Therapist 585-322-5434  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2018-05-04 | 
| Last Update Date | 2022-03-15 |