| NPI | 1649414269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ROTOLO Speech Language Pathologist 315-404-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: VA 2202005604) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |