| NPI | 1528392651 |
|---|---|
| Doing Business As | NORTHSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAURA LAFFOND Manager 434-964-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203786) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |