| NPI | 1205803558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SMITH CEO 315-477-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-05-27 |