| NPI | 1619270915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PEREZ Physical Therapist 0804-139-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA 35047) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |