| NPI | 1225058548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY TANNER BELL CEO 757-827-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 78013) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-03-22 |