| NPI | 1871850164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH POLIS Owner, Founder, Lead PT 571-309-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305205043) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2014-03-04 |