| NPI | 1215263546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M HYDE Owner / Clinic Director 804-874-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305202826) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |