| NPI | 1295717726 |
|---|---|
| Former Legal Business Name | HAYMARKET PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | HOLLY D MORIARTY Owner 703-675-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305004656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202666) |
| 225X00000X Occupational Therapist (Licence: VA 0119003997) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-06-16 |