| NPI | 1013527381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE BENNETT Physical Therapist 757-620-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-01-05 |