| NPI | 1063538064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA H. CLARKE President 703-924-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003238) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |