| NPI | 1821033564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ERCOLE Director/Owner 703-205-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305004004) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-04-14 |