| NPI | 1184804569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ACUNA REYES Practice Administrator 910-695-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9202) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |