| NPI | 1518297258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAY GREER Assistant Director 571-271-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206199) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |