| NPI | 1205151826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C BABER Executive Director 336-883-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-10-25 |