| NPI | 1912003344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOSTAFA President 703-333-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 2305204086) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |