| NPI | 1700251949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NOVELLI Manager, Owner 716-713-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029044) |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2015-12-13 |