| NPI | 1871716563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DAVID SCOTT Owner 703-934-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305002566) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305203253) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |