| NPI | 1457033102 |
|---|---|
| Other Name | COLOSSEUM |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHELL Physical Therapist/Owner 607-725-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |