| NPI | 1346499928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN KELO Owner/Physical Therapist 804-366-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305002847) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-03-02 |