| NPI | 1306925151 |
|---|---|
| Doing Business As | PROACTIVE SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | KATHRYN KIRCHMYER Office Manager 716-674-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024373-1) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-08-18 |