| NPI | 1568840957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALINA SRIKANTH Credentialing Specialist 703-239-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209399) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |