| NPI | 1467638718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CONOVER MEAD President/Owner 540-751-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305002938) |
| 225100000X Physical Therapist (Licence: VA 2305205223) | |
| 225100000X Physical Therapist (Licence: MD 16283) | |
| 225100000X Physical Therapist (Licence: MD 20469) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2009-02-18 |