| NPI | 1053522748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE METZ President 703-574-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: VA 0103300913) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |