| NPI | 1336536671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE MCCULLY Occupational Theraoist 315-735-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 012286-1) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |