| NPI | 1821425257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN VERTUDES Co Founder 571-426-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305204845) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305207829) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |