| NPI | 1184806283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE A. PERSON Owner 910-438-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 9366) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |