| NPI | 1275918435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK STEPHEN BRESLEY Owner 703-586-5833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 255A2300X) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |