| NPI | 1134236078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PEACOCK BETTENDORF Member/Manager 910-458-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: NC 9400419) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |