| NPI | 1841362498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PERKINS Member 518-324-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025940-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x010884-1) |
| 111N00000X Chiropractor (Licence: NY x011137-1) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-12-21 |