| NPI | 1790185460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LANZER President 703-728-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202148) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-09-19 |