| NPI | 1134716921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PITTMAN SMOOT Practice Manager 919-444-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |