| NPI | 1881759041 |
|---|---|
| Other Name | PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MYETTE Physical Therapist Owner 607-771-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-12-01 |