| NPI | 1922138619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE P DREW Solo Practioner 757-722-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101056876) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-05-11 |