| NPI | 1881439917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LESLEY WATSON Owner, Organizer, Member 607-624-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-07-18 |