| NPI | 1538567557 |
|---|---|
| Former Legal Business Name | COLLABORATIVE PT, PLLC |
| Entity Type | Organization |
| Authorized Contact | KAREN TAYLOR SOILES Owner 703-477-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 2305204518) |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2024-01-11 |