| NPI | 1164413902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SYDNOR Owner 919-782-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2008-05-30 |