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 |