| NPI | 1801236286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N LEYTON Owner 757-297-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-11-01 |