NPI | 1063689834 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER CLARK Manager/Licensed O PT Ician 540-776-9722 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: VA 1101 000964) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2015-06-15 |