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 |