| NPI | 1831273192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA C DONAFRIO Business Office Manager 757-397-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-08-20 |