| NPI | 1043982390 |
|---|---|
| Doing Business As | RADIUS PT OF VIRGINIA LLC |
| Former Legal Business Name | LEGACY PT OF VIRGINIA LLC |
| Entity Type | Organization |
| Authorized Contact | BRAD KEISLING Director Of Corporate Operatins 843-441-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-08-16 |