| NPI | 1093589962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMRATHA THIKKAVARAPU Physical Therapist 704-252-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |