| NPI | 1134338361 |
|---|---|
| Doing Business As | PHYSICAL MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES H BONNER President 804-282-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101032689) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0715002791) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: VA 0101032689) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0101032689) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: VA 0101032689) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101032689) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: VA 0101032689) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101032689) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-07-31 |