| NPI | 1093718199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN MILLER Owner 704-471-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 208100000X) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |