| NPI | 1114923786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOE DURHAM President 804-730-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: VA 2305002366) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-12-07 |