| NPI | 1326827957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES PENQUE Owner/Lead Physical Therapist 716-425-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |