| NPI | 1437555083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J WALKO President 757-640-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0102049902) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-02-13 |