| NPI | 1497391148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA TURNBULL Owner 757-695-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |