| NPI | 1225322134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE L PACKER-LOWE Owner/Physical Therapist 703-489-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305006016) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305202955) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119004001) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-01-23 |