| 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 |