| NPI | 1073978177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLIE B PERRONE Physical Therapist 703-509-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 5065) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |