| NPI | 1124054846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MAYNARD SCOTT Owner 434-385-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006816) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |