| NPI | 1225485436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DANIEL HEREL Doctor Of Physical Therapy 607-761-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 42569) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |