| NPI | 1073074845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE MIRELES PT, DPT Owner / Physical Therapist 703-718-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-01-11 |