| NPI | 1649337874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA G SMITH Office Manager 434-817-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202054) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-10-21 |