| NPI | 1275854960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RYERSON Physical Therapist 703-370-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305000926) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305205494) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |