| NPI | 1215363908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KRAAK Owner 607-319-4329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 011561-1) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |