| NPI | 1669426268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY J MOOCHLER President 315-282-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011136-1) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |