| NPI | 1982097465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVONE JOHNSON Physical Therapist 571-294-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305204873) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-08-03 |