| NPI | 1366562811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN VAN LOON Partner 607-277-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 006650) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 8425) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |