| NPI | 1750504833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAGRAFFE Executive Director 540-825-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 4978374) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-09-16 |