| NPI | 1891044418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY D GIBSON Manager 716-631-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: NY 0120921) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: NY 79151) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 013248) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |