| NPI | 1609291681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVANYA CHALLAPALLI Business Development Manager 703-798-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01532500) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |