| NPI | 1821498569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA AURORA Owner 540-324-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305004813) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2014-08-31 |