| NPI | 1710186853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE R MOORE Owner/Therapist 276-698-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305203632) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2014-03-12 |