| NPI | 1700132743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE E BOUCHER Owner/Therapist 540-449-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA S376257-4) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |