| NPI | 1851318505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO CONG TRUONG Executive Director 540-374-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101228930) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |