| NPI | 1063002582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA MIRONOVA Physical Therapist, Practice Organ 828-423-9232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-03-25 |