| NPI | 1215351242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERCOLE Institute Director 703-205-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA BLC-10000964893-02) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |