| NPI | 1104926419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MICHELLE FLOYD President 704-333-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9479) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-06-05 |