| NPI | 1245741024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY P NALLS Director 703-338-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305003310) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |