| NPI | 1124449699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FOX Office Manager 540-446-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005919) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |