| NPI | 1689935892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOMINICK BENEVENTO Physical Therapist 315-436-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 19671) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-08-06 |