| NPI | 1134876329 |
|---|---|
| Doing Business As | KEEP ACTIVE HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GOWATY Clinic Director 540-785-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |