| NPI | 1750839221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH OWENS Director 716-200-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011424) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |