| NPI | 1801268859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY KEESLER Physical Therapist Assistant 716-307-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5492) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |