| NPI | 1720432529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHN MACDANIEL Owner 540-424-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305306771) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2018-03-17 |