| NPI | 1952744542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLIVER Owner 703-904-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2306206706) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001903) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |