| NPI | 1295860765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN D HATHAWAY Owner 607-687-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 011651-1) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-08-21 |