Immaculate Physical Therapy PC

NPI #1013234657 in Vienna, Virginia

Provider Information

NPI Number
1013234657
Entity Type
Organization
Organization Name
Immaculate Physical Therapy PC
Primary Specialty
Physical Therapist
Enumeration Date
Apr 21, 2010
Last Updated
Apr 21, 2010

Practice Location

Address
117 CASMAR ST SE
City
Vienna
ZIP Code
22180-6610
Phone
(703) 309-7028

Authorized Official

Name
MRS. DALIA M ELASHKER, PHYSICAL THERAPIST
Title
DIRECTOR
Phone
(703) 309-7028

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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