| NPI | 1043831001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WILLIAM PORTER Occupational Therapist 704-980-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251E00000X Home Health | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-02-07 |