| NPI | 1194968768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E EBBECKE Owner/President 703-368-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005642) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2013-09-18 |