| NPI | 1952363822 |
|---|---|
| Other Name | PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARK W TULENKO Director 434-978-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2315014631) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 2305004631) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-07-03 |