| NPI | 1811260995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MICHAELS Office/Billing Mgr 607-795-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014843-1) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |