| NPI | 1538378039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A SCHEIDER Member 716-874-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 4528) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 3793) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |