| NPI | 1326408642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DANSEY Physical Therapist 571-213-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203384) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-03-15 |