| NPI | 1194864439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREEN SORRENTINO Asst Director 704-522-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 9217) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |