| NPI | 1558444513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN LAWRENCE Owner/President/Therapist 804-523-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: VA 2305003976) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-03-17 |