| NPI | 1760664775 |
|---|---|
| Former Legal Business Name | ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOC., INC. DIV OF PRATT MED CTR |
| Entity Type | Organization |
| Authorized Contact | PATRICIA RETTER Insurance Supervisor 540-373-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2009-09-02 |