| NPI | 1689983298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD MATHEW Director 703-415-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305205535) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2016-03-25 |