| NPI | 1801930631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANG Y YI Owner 703-890-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305204167) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |