| NPI | 1427147826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A. COLOGGI Business Office Manager 757-397-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-09-17 |