NPI | 1952836462 |
---|---|
Entity Type | Organization |
Authorized Contact | DEIDRA CANTRELL MORRISON President 804-931-6864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 31472) |
Enumeration Date | 2017-04-23 |
Last Update Date | 2018-04-13 |