| NPI | 1578082319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA VON TERSCH Occupational Therapist 757-650-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |