| NPI | 1427041250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J WELLS Physical Therapist 518-370-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0069531) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2009-02-11 |