| NPI | 1891194668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN ANDREW PEUTERBAUGH Physical Therapist Assistant 703-878-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 23066003140) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |