| NPI | 1851654230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAINE LONGE President 703-946-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2035204891) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 20062) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-12-27 |