| NPI | 1487664264 |
|---|---|
| Doing Business As | INNOVATIVE THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TRACY M. HERNANDEZ Owner 757-486-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |