| NPI | 1386973253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH WINKE Owner / President 757-216-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101054160) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2019-07-29 |