| NPI | 1801204060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M NYREN Owner 703-444-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-06-02 |