| NPI | 1619501772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-252-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |