| NPI | 1801548409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ROBERT PAVLOVICH Owner/ Physical Therapist 607-341-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-03-21 |