| NPI | 1689922155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MICHAELS Office/Billing Manager 607-795-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014843-1) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2014-02-24 |