| NPI | 1508250697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A WICHMAN Owner 804-521-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101253471) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |