| NPI | 1104177591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDIP K ROY Medical Director 704-893-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2002-0989) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2013-05-22 |