| NPI | 1003860602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALAN MILDREW Owner/President/Physical Therapist 757-460-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-08-17 |