NPI | 1770001521 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERITA N QUICK-WILLIAMS Director/ Owner 757-630-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2017-08-31 |
Last Update Date | 2021-07-15 |