| NPI | 1407930829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN MILLER Owner 315-232-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-12-13 |