| NPI | 1730214099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA VAYSMAN Physical Therapist 518-479-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015586) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |