| NPI | 1154608271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY OF Member Manager 704-771-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 9608) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |