| NPI | 1518268630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE JACKSON Owner/CEO 434-823-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119002325) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |