| NPI | 1780855510 |
|---|---|
| Doing Business As | PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | TRAVIS LEE Physician 757-366-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101241301) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: VA 0101241301) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2015-11-23 |