| NPI | 1922091719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE GIARDINA Director Of Operations 315-701-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020280) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-09-13 |