| NPI | 1164930384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MATTHEW MORAN Owner 828-606-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NC P16107) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: NC P16107) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |