| NPI | 1770100893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS BRUNELLE Physical Therapist, Co Owner 315-573-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-06-15 |