| NPI | 1871610634 |
|---|---|
| Doing Business As | SOURCE PHYSICAL THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES OCONNOR President, Owner 703-527-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305202015) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2012-09-07 |