| NPI | 1598936189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN MORAN Owner 804-839-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: VA 2305001100) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-09-12 |