| NPI | 1790815645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES JOHNSON President 703-729-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-09-23 |