| NPI | 1013101765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE ELAINE RAJA President/CEO 757-436-6913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305002939) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |