| NPI | 1285109033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B BARR President 757-578-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-08-21 |