| NPI | 1497051486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE A MATINA Medical Biller 585-342-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 009311-1) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |