| NPI | 1063085496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON TOLMAN Physician/Owner 540-818-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |