| NPI | 1982610333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY MATHENA President 434-836-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305005523) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-01-03 |