| NPI | 1831440221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE TALTY Physician 540-685-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102202736) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-07-16 |