| NPI | 1154562643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI JOHNSON Partner 518-435-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 007063-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 002113-1) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |