| NPI | 1649800806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BRADLEY Owner/Physical Therapist 518-593-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2021-03-01 |