| NPI | 1083614473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK MATTHEW SANDVIG President/ Physical Therapist 804-519-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251E00000X Home Health (Licence: VA 2305006683) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-11-20 |