| NPI | 1093155848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN MORAN President 804-839-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305001100) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |