| NPI | 1447771431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE SPRINGER JACKSON Treasurer 434-249-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: MD 06275) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |