| NPI | 1568172351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VICTORIA ZAZUETA Physical Therapist 703-220-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |