| NPI | 1003007337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE HD ROBERTS Director Of Business Operations 804-747-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 2305203258) |
| 174H00000X Health Educator | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 225700000X Massage Therapist | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2022-04-29 |