| NPI | 1841717774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS MASIELLO Owner 703-361-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 16L16402) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |