| NPI | 1265936496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN PURIFICATO Owner/PT 518-368-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0219471) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-03-20 |