| NPI | 1508827650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A. CASAZZA Owner 434-293-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: VA 0101054196) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |