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 |