| NPI | 1194260919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KEVERN Owner 828-808-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P9721) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2022-07-21 |