| NPI | 1144270372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY N LAURELES President 910-429-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-03-12 |