| NPI | 1013271360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM LEE WHITE Owner 540-347-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |