| NPI | 1699396036 |
|---|---|
| Former Legal Business Name | LITTLE RIVER PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE FISHER Physical Therapist 571-276-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-05-01 |