| NPI | 1164579603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFFREY CARPIN Physical Therapist 585-924-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019558) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |