| NPI | 1336329572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILSON Physical Therapist/Wound Specialist 276-233-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305005631) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-03-05 |