IMMACULATE PHYSICAL THERAPY PC

VIENNA, VA
NPI1013234657
Entity TypeOrganization
Authorized ContactDALIA M ELASHKER
Director
703-309-7028
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305205493)
Additional Taxonomies225100000X Physical Therapist
(Licence: VA  2305204191)
Enumeration Date2010-04-21
Last Update Date2010-04-21
Business Address
IMMACULATE PHYSICAL THERAPY PC
117 CASMAR ST SE
VIENNA, VA 22180-6610
Phone number: 703-309-7028
Mailing Address
IMMACULATE PHYSICAL THERAPY PC
117 CASMAR ST SE
VIENNA, VA 22180-6610
Phone number: 703-309-7028