NPI | 1760218903 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL WILLIAM MARTIN Member 716-352-4064 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2024-09-13 |
Last Update Date | 2024-09-13 |