| NPI | 1720142417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA NUTTALL Coding Compliance 540-347-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 0119001826) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-12-03 |