NPI | 1720368566 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBIN DEANE FORBUS Owner 540-416-0530 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305203618) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |