| NPI | 1104461441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ROBISON Clinical Services Director 703-548-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |