| NPI | 1417521154 |
|---|---|
| Doing Business As | BASE OF SUPPORT |
| Entity Type | Organization |
| Authorized Contact | CAROLINE MORRIS Owner 703-362-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |