| NPI | 1609081256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALLISON THIBODEAU Physical Therapist 540-450-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305831302) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-04-04 |