| NPI | 1750406971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE PIERCE O PT Ician 757-583-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: VA 0101234127) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |