| NPI | 1205027224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON P DUPLESSIS Physical Therapist 910-536-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 6968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11549) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-02-12 |