| NPI | 1306367677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARIE LOGSDON Physical Therapist/Manager 804-201-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |