| NPI | 1225545932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MICHAEL KELLY Physical Therapist/Owner 518-273-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025342) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |