| NPI | 1356764799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS MITCHELL Occupational Therapy Assistant 757-490-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0131001226) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |