| NPI | 1134504541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANIEL WEST Physical Therapist Assistant 910-740-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5727) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |