| NPI | 1437202793 |
|---|---|
| Other Name | KEMPSVILLE PHYSICAL THEGRP |
| Entity Type | Organization |
| Authorized Contact | LINDA CAROL NIECE-BOAZ Owner 757-523-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305002340) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-02-23 |