| NPI | 1164699716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE A BAHNER Manager 910-794-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 7864) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |