| NPI | 1891817938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE EILEEN SLEZAK Owner 540-785-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305202232) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |