| NPI | 1215632591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLESETTA MORRIS Physical Therapist 703-507-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-07-05 |