| NPI | 1780823807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE J BUCHBERGER Owner 315-515-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028390) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008418) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-05-26 |