| NPI | 1386667400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ML DUPREE Office/Insurance Manager 757-488-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |