| NPI | 1821443672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON PLATT Office Administrator 703-560-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 0401007079) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |