| NPI | 1316377260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E. SUESSLE Physician 804-878-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 259627) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2014-02-14 |