| NPI | 1558322784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JOHN WHIELDON President Physical Therapist 716-662-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0079921) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-07-07 |