| NPI | 1255393930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL ROBERT CARLSON Owner 585-394-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 014144-1) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-06-11 |