| NPI | 1386944106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL RENEE WINTER Physical Therapist 518-461-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5372) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3233) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-03-10 |