| NPI | 1073709036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BARBARA MOORE Office Manager 434-882-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305202139) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2010-06-14 |