| NPI | 1285268961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JENKINS Credentialing/Office Manager 804-521-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-01-20 |