| NPI | 1245980341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CHANCE Practice Administrator 540-656-2786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-11-03 |