| NPI | 1306690383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGHUNANDAN ALAPAKAM REDDIVARI KUMARA VENKATA Physical Therapist 804-874-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |