| NPI | 1003295908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WILKINSON Member 704-301-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6203) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |