| NPI | 1912966409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VANLEUVEN Owner Chief Operating Officer 518-641-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-11-27 |