| NPI | 1790849966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURRAY JOHN SAUCIER Owner 315-475-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 002669) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020987) |
| 225100000X Physical Therapist (Licence: NY 014402) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-09-23 |