| NPI | 1730536525 |
|---|---|
| Doing Business As | NOVA SPORTS AND SPINE REHAB |
| Entity Type | Organization |
| Authorized Contact | LORENZ FORTUNO Physical Therapist 571-594-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305202501) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |