| NPI | 1669602272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MULLENHOLZ EMERY Administrator 703-534-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 2305003368) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 2305203344) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |