| NPI | 1770738148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN W MCCALL Owner/Physical Therapist 757-588-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005841) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-10-07 |