| NPI | 1114286531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM BRINKMAN Administrator 919-382-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |