| NPI | 1659889814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFANIE KEOUGH Director Of Rehab 607-737-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042589-1) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |