| Organization Name: | CHANGING PACES PC |
| NPI Number: | 1326394131 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE CARDWELL (PRESIDENT) |
| Mailing Address: | 10545 Kings Hwy King George |
| State: | VA US |
| Postal Code: | 224853431 |
| Phone Number: | 5409037298 |
| Fax Number: | 5407097559 |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |