| NPI | 1023017472 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SAMUEL PAUL  LAWSON President 804-726-2340  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305202101)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202101)  | 
| Enumeration Date | 2005-07-19 | 
| Last Update Date | 2025-09-11 |