| NPI | 1073257184 |
|---|---|
| Doing Business As | SHORE GOLF PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. EDWARDS Physical Therapist 252-398-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |