| NPI | 1447379748 |
|---|---|
| Doing Business As | INTEGRATED SPORTS MEDICINE & PHYSICAL THERAPY OF LOUDOUN |
| Entity Type | Organization |
| Authorized Contact | JERRY ORRISON PUMPHREY President, Member 804-756-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |