| NPI | 1871529206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B. BARR VP 757-422-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 00149895) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-06-25 |