NPI | 1346213048 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA M EGGLESTON Vice President 276-632-5281 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003684) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305006205) |
225X00000X Occupational Therapist (Licence: VA 0119003394) | |
Enumeration Date | 2006-02-12 |
Last Update Date | 2020-08-22 |