| NPI | 1396063160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN LATHAM KITE Owner/President 540-563-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305001772) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-07 |