| NPI | 1942821681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE B WILTSHIRE President/Physical Therapist 315-783-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |