| NPI | 1922159581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN GRUBB Owner 276-773-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 0101225439) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |