| NPI | 1225853328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY LEWIS HERNDON Physical Therapist 434-770-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |