| NPI | 1346731692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S SCUDDER Owner/Physical Therapist 571-332-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305002973) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 25727) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |