| NPI | 1295040525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PER STAMPE CFO 585-738-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-02-05 |