| NPI | 1770955312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE TELFORD Physical Therapist 757-842-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305206158) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2026-04-17 |