| NPI | 1306134648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M SMITH President 804-745-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305005181) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |