| NPI | 1942513809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARIE WENTZELL Physical Therapist, Owner And Manag 202-243-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23286) |
| 225100000X Physical Therapist (Licence: VA 23052006320) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |