| NPI | 1255488755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL B AGUILAR President 703-366-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005258) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 0104001593) |
| 111N00000X Chiropractor | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-12-06 |