| NPI | 1891955894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA CALABRESE VAETH Owner 716-348-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0267691) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |