| NPI | 1487340360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ANNE BUMGARNER Physical Therapist 434-944-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |