| NPI | 1447615661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGNYU S. LEE Director 703-626-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305203083) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |