| NPI | 1023017472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PAUL LAWSON President 804-726-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202101) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305202101) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |