| NPI | 1801347042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GALVIN Member/Manager 716-725-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 002599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016184) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |