| NPI | 1063924264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE PAGLIANO PT/Owner 571-336-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203442) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |