| NPI | 1376536441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY K ADLER President Owner 804-285-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 089240000) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-08-29 |