| NPI | 1982907614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE P. BOUCHER President 716-882-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 234234) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |