| NPI | 1487905477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM RADWAN President 703-660-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305205237) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2014-03-12 |