| NPI | 1245354828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TULENKO Director 434-978-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004444) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-05-29 |