| NPI | 1699888982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH T LESTER Practice Manager 757-215-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003393) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-08-04 |