| NPI | 1689547424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDHYA RAJAGOPAL Owner Provider Authorized Official 540-490-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |