| NPI | 1144632118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POULIN Physical Therapist/Owner 910-603-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9500) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |