| NPI | 1376983437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MILLER MAXWELL Owner 804-920-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2013-00883) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |