| NPI | 1891980272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAGE Owner 607-621-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024780-1) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |