NPI | 1952620924 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE C JEFFERSON Owner 703-587-1907 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119003001) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601555) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2010-05-28 |