| NPI | 1881680692 |
|---|---|
| Former Legal Business Name | CARMEN D RICCELLI PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERIC J YARAH Owner / PT 315-487-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |