| NPI | 1528692662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLIS MORRIS Owner/Physical Therapist 804-370-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |