| NPI | 1083125892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACINE EUGENIA JOHNSON Occupational And Physical Therapist 704-808-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 11610) |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0100X Clinic/Center, Health Services (Licence: NC 6889) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-10-19 |