| NPI | 1457529513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D. KNAUFT President 757-397-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1301190004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 191958) |
| 225X00000X Occupational Therapist (Licence: VA 191959) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |