| NPI | 1750463188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WILLIAM FORGET Owner Physical Therapist 315-882-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021515) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |