| NPI | 1215904933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HERRITY Owner 703-354-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003408) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-03-14 |