NPI | 1124057211 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN BOYTEK President/Owner/Physical Therapist 757-483-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305000773) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2007-11-29 |