| NPI | 1053535609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW P WREN Physical Therapist 804-741-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003703) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |