| NPI | 1205131810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARK WILLIAMS Managing Membership 276-238-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005319) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |