| NPI | 1144406539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R SHEPHERD Owner/Physical Therapist 910-798-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 4865) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-02-27 |