| NPI | 1356195572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWIS CRANDALL Physical Therapist 315-877-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |