| NPI | 1861891848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ELLIE Owner 585-500-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 037988) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |