| NPI | 1508393174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRUTI AMBEGAONKAR Owner 703-349-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305205344) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |