| NPI | 1356670368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M MERRICK Owner 315-376-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2013-09-19 |