| NPI | 1043278195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KIM COFFIN Business Manager 336-254-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC NC1307) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-10-13 |