NPI | 1255793550 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE JOSEPH PARK Owner/Physical Therapist 716-949-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028310) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-06-30 |