| NPI | 1376807065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIRON ALLEN HOLMES Co Owner 703-314-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305205379) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: DC 870876) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |