NPI | 1083297469 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDAN SULLIVAN President 703-463-7371 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 101Y00000X Counselor |
225100000X Physical Therapist | |
Enumeration Date | 2021-05-03 |
Last Update Date | 2023-04-14 |