| NPI | 1467510347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUTCHINSON CALL President 757-418-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: VA 0126000702) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |