| NPI | 1598129348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY KEITH Physical Therapist/CEO 703-786-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25856) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-07-12 |