| NPI | 1902121221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA Z GRAS Owner 518-283-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0124451) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |