NPI | 1417373929 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT DAVID MILLEY President 716-474-7248 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 675720000) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2014-03-07 |