| NPI | 1700177862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CARR Physical Therapist/Owner 571-306-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 203119) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-07-21 |