| NPI | 1720362858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE RIVERA Vice President 757-375-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |