| NPI | 1235551318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WHISSEL Sole Member 716-359-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 036724) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |