| NPI | 1053545988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DOUGLAS KOOS Owner/Physical Therapist 704-288-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9417) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2023-09-07 |