| NPI | 1720453517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHURA A GURJAR President 703-646-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2015-12-05 |
| Last Update Date | 2024-04-17 |