| NPI | 1851781769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNAN KAVASERRY Owner 804-874-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 2305204964) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2022-01-25 |