| NPI | 1124890587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA CLAPP Owner 804-304-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2024-01-03 |