| NPI | 1417998329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M FORD Business Manager 540-985-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305004995) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-05-01 |