| NPI | 1841224912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HOGGE Business Office Manger 757-321-3398 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101041556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305003416) |
| 225XH1200X Occupational Therapist, Hand (Licence: VA 0119003467) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-02-27 |