| NPI | 1073573242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN R JONES CEO 757-873-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2025-06-04 |