| NPI | 1609904069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J ALLEN President Owner 703-723-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204090) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |