| NPI | 1447645551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C JOHNSON Owner 703-729-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2306602067) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |