| NPI | 1073025631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH MERRITT Owner/Physical Therapist 910-207-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |