| NPI | 1831376623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L GRETSKY Owner/Member 315-558-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0121881) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |