| NPI | 1255760039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE CONLEY Managing Member 607-329-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28072) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |