| NPI | 1093147795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL TRAE TRAVIS Doctor Of Physical Therapy 434-942-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VA 0) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2022-07-21 |